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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. 

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Make sure your family member wants their story to be documented or recorded. That's a very important question to ask ahead of time, Cain said. “Many oral historians have run into the spot where, ‘Oh, my grandpa would be great,’ and you get there and it's like, ‘Grandpa does not want to talk to you.’ So first making sure that they want their story recorded.” 2. Determine the type of recording equipment you want to use. Decide if you want to record your interview with an audio recorder or using a video recording device. The Institute for Oral History offers a helpful resource on choosing the right digital recorder for your needs and comfort level. 3. Do some advance research about your family member’s life and their timeline to help you formulate your questions. You can't just put down a recorder in front of someone and say, "Talk." Are there specific things that you want to know? For example, would your family member recall a specific time in their life or a moment in history that affected them? What were they like in high school and what were things they enjoyed doing? Did they serve in the military? “Doing your research to try to form those questions will help you get around what I will say is the reluctance to talk sometimes,” Cain said. “The favorite thing that I love to hear is, ‘Oh, I don't have much to say,’ or ‘I'm not that important.’ And then you sit down with them, and you listen to their stories, and your mind is just blown by the things that they've seen and experienced.” 4. Ask open-ended questions without making any assumptions. With oral history, Sloan said it’s important not to go into the interview with a specific agenda and try to lead anyone to a certain conclusion. “We can do this very subtly by assuming information, but I can't assume that their experience with that topic is X. That could have been very far from how they encountered whatever event that may have been,” Sloan said. “I've got to allow them to relate to me the ways in which they lived these experiences.” 5. Start with the basics, such as “Where are you from?” When Sloan, Cain and their oral history colleagues conduct an interview on any given topic, they generally begin with some life history of the subject, providing important context for historians. “Ask questions early on that are easy for them to answer: a little bit of the backstory, a little bit of where they're from, where they grew up,” Sloan said. “I want to understand the lens through which they experienced events, and the only way I can do that is, who was this? What was formative in their life growing up? Who spoke into who they were? What did they learn? Where did they go? What did they do? Those are the sorts of things that I would be exploring early in the interview.” One of the questions Cain enjoys asking is, “What did you want to be when you grew up?” There is the standard answer, but she notes that there’s often something that happened that may have changed that trajectory. “You want to give them something that's very easy and comfortable to talk about,” Cain said. “What was your favorite subject, just to see if that was something that continued on in their life. If there's a certain hobby or something that you know they're affiliated with, when did you learn about that? Tell me more. What's your interest in this? And then they'll get to talking.” 6. Make sure you are listening, an important facet of gathering oral history. 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Oral History Resources LISTEN: Dr. Stephen Sloan and Adrienne Cain Darough join the Baylor Connections Podcast to share more about preserving oral histories while offering tips for individuals seeking to preserve the stories of family or friends. FREE RESOURCES: Baylor’s Institute for Oral History provides free oral history resources on the IOH website. Get best practices on oral history interviewing, project planning and organization, transcribing interviews, protecting and preserving recordings and conducting phone or Zoom oral history interviews. Looking to know more or arrange an interview with the experts? Simply contact: Shelby Cefaratti-Bertin at Shelby_Cefaratti@baylor.edu today.

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