Baylor Gerontology Expert Shares Tips to Care for Aging Population During Coronavirus Pandemic

Mar 17, 2020

5 min

“This is not a vacation from caring; it is a time when caring is needed most of all,” social work professor says


The Center for Disease Control and Prevention (CDC) has announced that older adults and people who have serious chronic medical conditions such as heart disease, diabetes and lung disease are at a high risk for the coronavirus.


The virus hit hard in late January at a nursing facility in the state of Washington, where a number of residents died. As a result, the CDC has recommended strong restrictions on visitors to long-term care facilities, and the health organization continues to preach limited physical contact and “social distancing” – creating intentional space of six feet or more between each person – to stem the spread of the virus.


James Ellor, Ph.D., The Dorothy Barfield Kronzer Endowed Professor in Baylor University’s Diana R. Garland School of Social Work, is an expert on working with older adults as well as disaster behavioral health. He said it’s important in this time of uncertainty to continue to support and minister to those older adults who are self-isolating in their homes and those in long-term care facilities.



“Remember, no one stops caring about others just because germs are in the way,” Ellor said. “Express your caring in appropriate ways. This is not a vacation from caring; it is a time when caring is needed most of all. We also know that prayer is very important. Hold the person in prayer and let them know you are doing so.”


In the following Q&A, Ellor shares tips on how to care for this population during this time.


Q: What are some ways we can check on older relatives and neighbors without using physical touch and interaction?


A: There is a fine line in this unknown time between caution and paranoia. Respect for each other’s boundaries is the critical value. It seems very awkward to want to affirm someone, yet not shake their hand. However, we need to use our words and ask what the other person is comfortable with, and by the same measure, let them know what you are comfortable with.


At this point, the most obvious ways to check on people is through social media or paper and pencil. Drop them a note, call them on a phone, use other social media devices as appropriate. I would suggest that if you normally visit them, say on Fridays, be sure to continue to do that, albeit by phone or even just drop them a card.


Q: If people have chosen to self-isolate or if they’re scared to venture out due to this health crisis, what are some ways people can help?


A: Be consistent. If you have a pattern, continue the pattern. Remember the principles above. If the person is feeling out of control, talk quietly with them and offer them a card or other gesture of caring.


Q: Can you explain the importance of personal interaction for people who are shut in?


A: People with human contact simply live longer than those completely cut off from the world, with few exceptions. 


While about 15 percent of older adults are “shut in,” only about 5 percent are bed bound. That means that persons who are dependent on oxygen, for example, will be in their house, but not in bed. They depend on all of their outside contacts.

Keep your normal visiting pattern, albeit with a card in the mail or phone call.


If you are a member of a church, have the youth group use some of their extra “stay at home” time to make greeting cards intended to cheer up a person in your church or group that is home bound.


Older adults like tactile things, particularly if they are sensory-impaired. If you make a card, put a feather in it, or some other feel-good item. If you are purchasing a card, there are some that have things in them that you can feel, or even hear. Some cards will allow you to record a short message.


Q: Since so many long-term care facilities now have strict rules about visitors, are there any ways that people can interact or show support to residents in a safe manner?

A: Most facilities are cutting off all contact from the outside. Only their own staff, physicians and hospice nurses are being allowed in. Even social workers, chaplains and other clergy are being kept out. In the Waco area, physicians are being screened for a fever or cough and could be turned away.


As such, phone calls, cards and letters are all important. Several facilities in this area have begun to put room numbers on the windows of their facility, so that family can come by and wave through the window.


Persons in long-term care facilities, even those with dementia, will pick up on the anxiety of the staff and especially the TV, which is often on all the time. A person with dementia may not be able to understand the anxiety but will be anxious when others are anxious. This makes the job of staff that much harder.


Q: Anything else you’d like to share?


A: The workers at these homes have a much harder job now. Don’t hesitate to send them a card or a treat if it can be obtained safely. Staff, even the people at the door telling you that you can’t come in to see your loved one, have a tough job now and need extra support from everyone.


ABOUT JAMES ELLOR, PH.D.

James Ellor, Ph.D., serves as professor and The Dorothy Barfield Kronzer Endowed Professor in Family Studies in Baylor University’s Diana R. Garland School of Social Work. works with older adults around issues of mental and spiritual health. He has served on the executive committee of the Midwestern Geriatric Education Center and provided education, counseling, and planning for individuals and groups who work with seniors. His research includes work in entrostomal therapy, hunger, the church as service provider, spiritual assessment, and intervention techniques with cognitively impaired older adults.


ABOUT BAYLOR UNIVERSITY

Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 18,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions.


ABOUT THE DIANA R. GARLAND SCHOOL OF SOCIAL WORK AT BAYLOR UNIVERSITY

Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.); a Master of Social Work (M.S.W.) degree available on the Waco or Houston campuses or online; three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary; and an online Ph.D. program. Visit www.baylor.edu/social_work to learn more. 

Powered by

You might also like...

Check out some other posts from Baylor University

Hunter-Gatherer ‘Egalitarianism’ Is More Complicated Than We Thought featured image

4 min

Hunter-Gatherer ‘Egalitarianism’ Is More Complicated Than We Thought

Hunter-gatherer societies are often portrayed as models of equality, cooperation and selfless food-sharing. However, Baylor University anthropologist Duncan N.E. Stibbard-Hawkes, Ph.D., and an interdisciplinary team of researchers have found that this familiar picture oversimplifies how egalitarianism actually functions in everyday life. Their research, published in the journal PNAS Nexus, examined the Hadza, a contemporary hunter-gatherer population in Tanzania, and found that relatively equal outcomes are often maintained not only by altruism, but through social pressure and what anthropologists call “demand sharing.” In a previous study, Stibbard Hawkes and co-author Chris von Rueden, Ph.D., professor of Leadership Studies at the University of Richmond, conducted a wide-ranging review of hunter-gatherer populations that are typically characterized by equality. They found that, although many of these societies did “function with relative equality, even the most egalitarian hunter-gatherer groups display inequality in one area or another.” To further understand this, Stibbard Hawkes and the research team tested their ideas of egalitarianism through a behavioral economic experiment employing a give-and-take behavioral economy game with Hadza participants. “We find that equality was achieved only under conditions of disadvantageous inequality – where the person playing the game had less than others – suggesting that taking is more important in achieving redistributive equality than giving,” Stibbard Hawkes said. “This mirrors real life – if someone has too much, there’s often a lot of demanding shares from other people.” “Looking at the actual motivations and mechanisms of redistribution and limiting power gives us a more realistic approach and a clearer view of what egalitarianism actually is." - D. Stibbard Hawkes, Ph.D. Behavioral economy games Many anthropologists and ethnographers investigate fairness in societies by employing behavioral economic games, such as the “dictator game.” By giving participants an endowment of tokens, researchers can understand how equality ideals function within that group based on how individuals keep or give away the tokens, Stibbard Hawkes said. “When you play these economic games, people are often more selfish in hunter-gatherer societies than they are in America or Europe,” Stibbard Hawkes said. “Which is surprising because these societies are well known for being egalitarian.” To better reflect real-world Hadza food-sharing practices, Stibbard Hawkes and team redesigned the experiment so participants could take resources as well as give them – and the results changed dramatically. “We changed the rules of these economic games and ended up with equality – but only in the condition where people could take from other people,” he said. “That resulted in a relatively equitable distribution.” Only 40.9% of participants shared when they had more food than others, while 30% claimed additional items. When starting with fewer resources, 58.8% took from their partner – often beyond what was necessary for balance. Across both conditions, taking everything was the most common behavior. Importantly, the motivations behind those outcomes were not always idealistic. “Though we saw a lot of generosity, the individual motivations underlying this equality were actually often quite self‑interested,” Stibbard Hawkes said. Equality without altruism Rather than reflecting an intrinsic desire to be fair, Hadza sharing behavior reflects asymmetric incentives and immediate needs. “If I have a big pile of food and I’m not sharing it,” Stibbard-Hawkes explained, “the people around me are going to say, ‘No, you need to share this, and you’re going to give this to me.’ And, when everyone does this, the result is equality.” He emphasized that these interactions are often personal and direct. “It’s not just a societal expectation,” he said. “It’ll often be a direct dyadic interaction. Someone in the room next to you might be like, ‘Well, you’ve got a lot – you should give me some.’” How egalitarianism works Hunter-gatherer societies have long been used to help explain humanity’s evolutionary history. But Stibbard-Hawkes said popular writing often turns these societies into an idealized moral example. “When this gets roughly translated into popular science books,” Stibbard Hawkes said, “the idea is very much like we lived in this Edenic garden of freedom and plenty where everything was good and there were no difficulties.” That framing, he said, misses how egalitarianism is actually maintained. “Egalitarian societies exist – they’re not mythical,” Stibbard Hawkes said. “But if you actually look at the mechanics of how egalitarianism and relative political equality are maintained, it’s often people who are arguing, demanding shares and even insulting people who have too much.” Market integration and changing norms The study also found that Hadza individuals with greater exposure over the last decade to Tanzania’s broader market economy and farming were slightly more accepting of unequal outcomes. “These are things with a very different resource base, and what I'm finding is that – while traditionally forage foods like hunted meats, people expect sharing – when you ask people about cash or grain, their notions of what should be shared are very different,” Stibbard Hawkes said. Egalitarianism is not a myth Egalitarianism is not a myth—but it is often misunderstood. Generosity is not uncommon – but nor are people in egalitarian societies uniquely altruistic. Rather than arising from innate altruism or a lost utopia, equality in hunter-gatherer societies is actively produced through social pressure, negotiation and demands that limit accumulation and power. “Looking at the actual motivations and mechanisms of redistribution and limiting power gives us a more realistic approach and a clearer view of what egalitarianism actually is,” Stibbard Hawkes said.

National Cancer Research Month: Baylor Researchers at Forefront of New Discoveries featured image

2 min

National Cancer Research Month: Baylor Researchers at Forefront of New Discoveries

May is National Cancer Research Month, which highlights the importance of lifesaving research to the millions of people around the world affected by cancer. Thanks to spectacular advances made by cancer researchers, approximately 18.6 million people in the United States and millions more worldwide are living with, through and beyond their disease. Over the past year, Baylor University Media and Public Relations has reported on Baylor research at the forefront of discovering novel approaches to effective cancer therapies. University researchers are using tumor starvation techniques, natural products, phages, modified bacteria, precision nutrition and more in their trailblazing work on some of the most aggressive cancers, including kidney, pancreatic, oral, colorectal and breast cancers. In a recent article published by the University, it featured the hard work and research of eight Baylor experts driving those discoveries forward: • Kevin G. Pinney is developing a next-generation treatment for kidney cancer that targets the blood vessels feeding tumors. His research focuses on specialized drug conjugates designed to cut off oxygen and nutrients to renal cell carcinoma tumors — essentially starving cancer cells to death. • Daniel Romo is accelerating new therapies for pancreatic cancer using compounds derived from marine natural products. His work on a simplified version of pateamine A could offer a new therapeutic pathway for pancreatic ductal adenocarcinoma, one of the most aggressive and difficult-to-treat cancers. • Joseph Taube is investigating how breast cancers spread and resist treatment. His recent work examines whether a natural compound called Ophiobolin A can trigger inflammatory forms of cancer cell death that may work alongside immunotherapy — particularly in treatment-resistant triple-negative breast cancers. • Leigh Greathouse is combining cancer biology, nutrition science, and AI to personalize cancer prevention and treatment strategies. Her research explores how diet and the gut microbiome influence cancer outcomes and survivorship. • Michael S. VanNieuwenhze is leading groundbreaking colorectal cancer research using modified bacteria to deliver cancer-killing proteins directly into tumor cells. His team is engineering Listeria monocytogenes as a targeted therapeutic delivery system. • Aaron Wright is helping lead a major ARPA-H initiative exploring the use of bacteriophages — viruses that attack bacteria — to reshape the human microbiome and improve health. The project could eventually help prevent diseases linked to oral and colorectal cancers through low-cost phage-based treatments. • Savannah Rauschendorfer is researching how exercise interventions may reduce the harmful cardiac side effects of chemotherapy in adolescent and young adult cancer patients. Her work aims to identify patients at risk of cardiotoxicity earlier and improve long-term survivorship outcomes. • Jonathan Kelber studies the cellular and molecular mechanisms behind aggressive breast and pancreatic cancers. Through his Developmental Oncogene Laboratory, Kelber investigates how cancer cells evolve during tumor progression and tissue regeneration. Together, these researchers showcase how cancer science is rapidly evolving beyond traditional treatments – integrating biology, chemistry, nutrition, exercise science, microbiome research, and artificial intelligence in the search for more effective and personalized therapies.

Expert Perspective: Race and Representation Take Center Stage in Texas’ Democratic U.S. Senate Primary featured image

1 min

Expert Perspective: Race and Representation Take Center Stage in Texas’ Democratic U.S. Senate Primary

As Texas Democrats head toward a competitive 2026 U.S. Senate primary, conversations about race and representation are playing a visible role in the campaign. In a recent Spectrum News segment, Baylor University political analyst Dr. Mia Moody discusses how racial identity, voter perceptions, and candidate messaging are influencing the dynamics of the race. Mia Moody, Ph.D., is a professor and former chair of the Department of Journalism, Public Relations, and New Media in the Baylor University College of Arts & Sciences. She is a nationally recognized expert on mass media and image repair, intersectionality, critical race theory, and the media framing of women and people of color. View her profile The story explores how candidates are navigating issues of representation within a diverse Democratic electorate, and how those discussions could impact turnout and coalition-building ahead of the primary. Watch the full report for expert insight into how race is shaping one of Texas’ most closely watched political contests. The full story is available below:

View all posts