Financing Senior Housing Development: A New Ecumen Whitepaper
Many people have visions of developing senior housing, but what separates dreams from ground breaking cermonies is the people with vision who put the right team together. Essential to this effort is a financing partner. Senior Housing Financing Options is a new Ecumen whitepaper that outlines some of the key financing options for would-be senior housing owners. Download here.
New Study Says Golf Prolongs Life
Do you golf a lot? According to this news from our friends in Sweden, golf can be a good investment for health. So says a new study from the Swedish medical university Karolinska Institutet. The death rate for golfers is 40 per cent lower than for other people of the same sex, age and socioeconomic status, which correspond to a 5 year increase in life expectancy. Golfers with a low handicap are the safest.It is a well-known fact that exercise is good for the health, but the expected health gains of particular activities are still largely unknown. A team of researchers from Karolinska Institutet has now presented a study of the health effects of golf €“ a low-intensity form of exercise in which over 600,000 Swedes engage.The study, which is published in Scandinavian Journal of Medicine & Science in Sports, is based on data from 300,000 Swedish golfers and shows that golf has beneficial health effects. The death rate amongst golfers is 40 per cent lower than the rest of the population, which equates to an increased life expectancy of five years.Professor Anders Ahlbom, who has led the study with Bahman Farahmand is not surprised at the result, as he believes that there are several aspects of the game that are proved to be good for the health.'A round of golf means being outside for four or five hours, walking at a fast pace for six to seven kilometres, something which is known to be good for the health,' he says. 'People play golf into old age, and there are also positive social and psychological aspects to the game that can be of help.'The study does not rule out that other factors than the actual playing, such as a generally healthy lifestyle, are also behind the lower death rate observed amongst golfers. However, the researchers believe it is likely that the playing of the game in itself has a significant impact on health.Golf players have a lower death rate regardless of sex, age and social group. The effect is greater for golfers from blue-collar professions than for those from white-collar professions. The lowest rates are found in the group of players with the lowest handicap (i.e. the best golfers).'Maintaining a low handicap involves playing a lot, so this supports the idea that it is largely the game itself that is good for the health,' says Professor Ahlbom.
Changing Aging Interview: Dr. Andrew Scharlach, University of California at Berkeley, Center for the Advanced Study of Aging Services
Changing Aging recently sat down with Dr. Andrew E. Scharlach, of the University of California at Berkeley, where he holds the Eugene and Rose Kleiner Chair in Aging. He also serves as Director of the Center for the Advanced Study of Aging Services, which conducts research designed to inform development of innovative and effective services for older adults. It recently sponsored an international web-based conference on 'Creating Aging-Friendly Communities' and technical support through an ongoing 'Community of Practice' is available here.Dr. Scharlach, who also serves as a gubernatorial appointee on the California Commission on Aging, has published extensively on the needs of older adults and their families, particularly with regard to long-term care services, work and family responsibilities, bereavement, and gerontological social work education. In addition to more than 40 articles, he is the author of Elder Care and the Work Force: Blueprint for Action (with B. Lowe and E. Schneider; Lexington Books, Controversial Issues in Aging (with L. Kaye; Allyn & Bacon), and Families and Work: New Directions in the Twenty-First Century (with K. Fredriksen-Goldsen; Oxford University Press).
What are the biggest changes that you think we’ll see in U.S. community planning as it relates to preparing for vital aging communities?
We’re going to and already are seeing older consumers more involved in the planning process in communities. Aging friendly initiatives and products will become the norm. You’re going to see much more universal design in housing development. You’re also going to see products that look good, have good design and that are functional. Michael Graves, the renowned designer, is creating good and functional design of shower heads, tea pots and other products used in everyday life. That will become more widespread in architecture and other community infrastructure.
How do you see senior housing changing for the age wave?
I see several different areas for change. I think you’re going to see more housing that’s built for a lifetime, e.g., universal design. That’s going to lead to communities that are more intergenerational. I think senior housing providers also will move more outside of their traditional bricks and mortar, where they help create virtual senior communities by delivering services to people in their home. Technology is going to play a much greater role. We’re already starting to see that with sensor monitoring in people’s homes. That technology is going to have to increase because we’re going have many fewer caregivers. I also think there will be more peer support and less reliance on family care. Communities that are known as “good places to grow old” are where people will want to live.
What are examples of U.S. communities you’ve seen that “get it” when it comes creating aging-friendly communities?
There are a number of communities that are seeing aging as an asset and working to be livable for a lifetime in different ways. Atlanta has a large initiative called Aging Atlanta, which is part of their regional planning and is focused on making Atlanta a place people want to stay. The University of Indiana has a Center for Aging and Community under the direction of Dr. Philip Stafford that has been doing a lot of work in this area to help communities become lifespan communities. Fremont, California, is another one that is doing community-wide work to help people live and stay in Fremont to the end of life.
By 2050, the U.S. will have more than a half million centenarians. Assuming a shortage in professional caregivers, how do you see family care changing for this unprecedented demographic shift?
Technology is going to have to play a critical role. Robotics are going to take on some roles that were traditionally done by humans. You’re also going to have nurses checking in with patients by video or by computer via sensors. We’re going to have to think very locally. Neighbors are going to have to look out for neighbors. Community design also is essential for this. Buildings have to be easy to live in and easy to navigate for people who have disabilities. You can start to see how the unprecedented age wave in the U.S. will impact just about every area of our society. Communities can’t plan in silos. There are a lot of interconnections and intergenerational ties to this.
What do you want old age to look like for you?
I want to be socially connected. I’d like minimal physical impediments, and I want to be able to maintain meaningful activities and relationships without undue pressure to maintain the functional levels of earlier years. There’s this image in America that to age well, you have to be jumping out of airplanes or running marathons. Not true. Healthy, successful aging is about enjoying life €“ not speed or intensity.
Seniors and Technology: New York Times Features Ecumen Customer
The Sunday New York Times featured Ecumen customer Helen Trost in an interesting article on technology enhancing independence, seniors being able to stay in their own home and involving family members across long distances. You can read more about technology Ecumen is using to enhance customers' independence here.
Interview With Ronni Bennett, Author of Time Goes By
The Washington Post calls Time Goes By 'the quintessential seniors' blog,' … AARP calls its author Ronni Bennett (in the cool photo montage above), 'the dean of older bloggers,' … And we’re fortunate to have her insights today at Ecumen’s Changing Aging blog.For more than 25 years Ronni, who says 'Age is a gift,' was a radio and television producer, working on such programs as 20/20 and the The Barbara Walters Specials on ABC and for shows on Lifetime TV, NBC, PBS and CBS. In 1996, as the Internet was in its infancy, Ronni was named the first managing editor at cbsnews.com. It was there that the seeds of Time Goes By began to grow. Today she’s changing aging in America from her home in Maine where she authors her groundbreaking blog. Thank you to Ronni for taking time with us.
Why did you start blogging?
After six or eight years of researching aging in my spare time, I had accumulated thousands of pages of notes and articles along with a small library of books on aging and wanted to organize what I’d learned. I had also been following what was, in 2003, the nascent blogging phenomenon and thought it would be a good format for writing about 'what it’s really like to get old' which is the subtitle of my blog.Hardly anyone was writing online about aging back then and what existed - online and in print - was about 95 percent negative; all about decline, disease and debility. I knew getting old couldn’t possibly be as bad as that so while not being a Pollyanna about it, I wanted to explore what is good about aging.
How much time do you spend on Time Goes By?
It’s a seven-day-a-week job. I have a couple dozen Google Alerts of key words and phrases that keep me up on what’s being written about aging, aging news, research, etc. I also subscribe to email newsletters relating to geriatrics, technology, government, public policy, employment, age discrimination, caregiving, etc., so there’s a lot of reading and assimilating to do. Then the writing.I post to Time Goes By six days a week and I also keep a secondary blog, The Elder Storytelling Place, for which I rarely write, but edit and publish stories elders submit. I put in a lot more time on these than I did on regular jobs before I retired from the workplace.
What kind of impact do you think the blogosphere is going to have on how we view aging in America?
There’s a famous New Yorker cartoon from about a dozen years ago showing two dogs sitting at a computer. One says to the other: 'On the internet, no one knows you’re a dog.' Well, no one knows your age either, unless you tell them, so one’s thoughts, opinions and writing can more easily be judged on their merit rather than being dismissed for being written by a 70-year-ol. Or a 20-year-old, for that matter.However, I always give my age, when appropriate, on my blog and I urge other elders to do it too so that readers become accustomed to finding stories of interest from 60-and 70- and 80-year-olds and beyond. The United States is a profoundly ageist country in which, for years, elders have been marginalized in media, the workforce and most of the culture as though, when we get old, we forget everything we ever learned. But we still have much to contribute if people will let us, and perhaps within the blogosphere we - the young and the old - might discover what we have in common.
Does growing older fascinate you, or scare you, or something else? Why?
For most of my life, I never thought about getting old. I think our mid-years are so busy with careers, home, child-raising that there’s little time to consider our approaching later years. In my case, I was 55 when I looked around the room where I worked at cbsnews.com for one of the writers I needed to speak with. As I gazed over the faces, I had a startling moment of recognition: I was older than every person in the room by decades, old enough in some cases to be their grandmother.Over the next few weeks, I noticed it again and again and realized I knew nothing about what getting old is like. A cursory look at the popular press, newspapers and magazines, gave me nothing except the debility and decline I mentioned above and I thought if it was going to be THAT bad, I might as well shoot myself.But I couldn’t make myself believe that it would necessarily be so terrible. I was smarter, sharper, better at my job than I had ever been. I was more comfortable in my own skin. I was happier with myself than when I was younger. How could being 55 and even older be the awful thing it is made out to be, I wondered, when I felt so good.Because youth is considered the gold standard of life in the United States, getting old is a great mystery and it fascinates me. And the goal of my blog is to lift the veil on that mystery and find out what it’s really like.
How do you see the age wave - the unprecedented number of older people - changing how we view aging in America?
Well, I haven’t made up my mind about that. On the one hand, with more elders around, everyone else has to become more familiar with us and see the trade-offs that are made. I can’t run as fast or jump as high as I once could, but I’m smarter, more experienced and have a lot better judgment than when I was young.On the other hand, I worry that there will be a generational conflict. There is no denying that as old people become a larger percentage of the population, some people will see the need to care for those who need it as a drain on resources.Nevertheless, things will need to change. With fewer people in the generations coming up behind the baby boomers, finally corporate America will NEED to employ old people longer just to get the work of the country done. Life expectancy increased by 30 years during the 20th century and we are much healthier than our parents' and grandparents' generations. So there is no reason old people should be shoved out of the workplace at 60 or 65 as they are now, and there are signs that corporate America is beginning to recognize this.The generations need one another and I hope that will help change the ageist atmosphere we live in now.
Do you see the media changing how it views and depicts aging?
A little, but not much yet. This is so because most of the media is run by young people and they don’t understand old people. Our interests and concerns change as we get older, but the media treats us mostly as slightly dotty, none too bright and the youth and beauty police keep insisting that we do everything possible to pretend to be younger than we are. The ad agencies and TV and movie producers need to employ some 60- and 70-year-olds to get it right.There are a few more magazines, such as More and ELDR aimed at older people, and that’s good except that they may be becoming kind of a ghetto of old people media. And Oprah Winfrey, who has millions of fans and is considered the queen of daytime television, spends a great amount of time on her show pursuing the pretense of youth. Oprah is 54 years old. She should be wise enough by now to use her media power to help people accept aging as a normal stage of life, promote its dignity, recognize the value of elders and help integrate them into the mainstream.
Which are you enjoying more - your career in your 30s or your work today?
I had a wonderful career in television. I traveled the world on someone else’s dime, worked with kings and queens and movie stars and heads of state, and learned a lot of things I would never have otherwise known. And then, after a couple of decades, I was given the opportunity to work in a burgeoning new medium, the internet, when it was brand new.During all those years, I never thought much about what I’d do when I wasn’t employed in the workforce anymore. I suppose I expected to do that until I die, but a bit of age discrimination in the workplace got in the way. I hadn’t intended, when I started Time Goes By, to make it a late-life career, but it morphed into that. It’s allowed me to meet people from all over the world, get to the know the tech community and participate in the blogging world beyond turning out a blog post each day, attending and speaking at conferences and, perhaps, making some small difference in how elders are perceived and treated.So I can’t say I enjoy one more than the other, but how lucky for me that the internet and blogging came along just when I needed it.
Changing Aging in America
Last week was a busy, interesting time on Capitol Hill in the area of 'Changing Aging in America.' Three different hearings (one including Ecumen) … all highlighting the need for holistic aging public policy in America - no planning in silos - so that the United States rides the age wave and people have the independence, quality of life and safety that they desire and deserve.
Justice Sandra Day O’Connor testified before the U.S. Senate Special Committee on Aging urging Congress to take a more active role in the research and treatment of Americans with Alzheimer’s Disease Justice O’Connor’s husband John has it, and another person is getting it every 72 seconds. Her testimony is here.
Kathy Bakkenist, Ecumen COO and senior vice president of strategy and operations, testified on technology to support family caregiving in a U.S. House briefing led by Rep. Patrick Kennedy (D-RI) and the National Alliance for Caregiving. You can read Kathy’s testimony here. 
And the House Committee on Energy and Commerce held a hearing about rogue nursing homes (which should be eliminated from existence). You can read more about it here.
Why Are So Many Companies Scared of People?
It’s unreal how so many companies are scared of people - even their own people. Yet people are their business. Starbucks sees the power of people with their new consumer 'idea generator' website. I don’t like coffee, but I like what they’re doing.At Ecumen, we also find that the best ideas come from people who know us best - Ecumen customers and Ecumen employees. The power of people is the genesis behind Ecumen’s Innovation Station. (note: this is a PDF link)Housed on our intranet, it’s where teams of people shape new ways of doing things. Last week was our annual celebration recognizing innovators, who have done a variety of things to improve the customer experience, including:
- Specialized behavioral Alzheimer’s training- A new memory care community for people dealing with the most serious behavioral issues caused by Alzheimer’s, there are only 2 in Minnesota and a handful nationally
- New congregational senior housing.- 
Expanding outside bricks and mortar to provide seamless care in a person’s home- Expansion of technology such as wireless record keeping of care (no more paper) and
- Universal marketing, when a person walks into an assisted living community, everyone is empowered and trained to serve that person and provide a tour- Making it possible for nursing home residents to eat when they want to eat, what they want to eat (No institutional 7 a.m. wake up call and everyone going to the dining line at once … yuck)- Concierge service so that our customers have point of contact when they seek a service- Going green …the only paper products that Country Neighbors of New Richland, Minnesota, uses are recycled paper towels- 'Guest' apartments so that potential customers can 'test-drive' our communities- Retrofitted dining trays for a person’s walker to enhance independence and allow a person to fully participate in buffet-style dining- End of life care that underscores aging is all about living even at the very end of life.
THE POWER OF PEOPLE - WHAT POSSIBILITIES
Long Term Care Financing Solutions Conference at Humphrey Institute
Who is going to pay for the unprecedented numbers of seniors who will need care? How will they pay? What are better ways to pay than what America has today?Your’re invited to a discussion about potential approaches to long-term care financing reform and what states can do to be national leaders in creating solutions. The conference is co-sponsored by the Center for the Study of Politics and Governance, Minnesota Health and Housing Alliance, American Association of Homes and Services for the Aging (AAHSA), and American Association of Retired Persons Minnesota (AARP). Ecumen CEO Kathryn Roberts will be one of the panelists.For more information and the conference agenda, go to: http://www.politicsandgovernance.org/events.htmlWednesday, June 4, 20088:00am - 12:15pmCowles AuditoriumHubert H. Humphrey Center301 19th Avenue S. Minneapolis, MN 55455Registration Information: This conference is FREE to attend and includes a continental breakfast. Registration is limited and handled on a first-received basis. Registration deadline is Friday, May 23, 2008. Please direct all registration questions to Beth Gabrysiak at MHHA.You can register in one of three ways:
- Register online at MHHA.com (click on events)
- Fax registration form to 651-645-0002, Attn: #8258
- Mail registration form to MHHA, 2550 University Avenue West, Suite 350 South, St. Paul, MN 55114-1900, Attn: #8258.
Once registered, you will receive an e-mail confirmation with the information for this event.
Prairie Lodge of Brooklyn Center: A New Option for Alzheimer’s Behavioral Care
'After going from crisis to crisis, Joan is finally in a place where they have the time and training to really help,' said her husband, Terry, 76, a retired math teacher and businessman from Shoreview. 'How many places can you get kicked out of? Let’s see, for us it was four in one year.' … .
Today the Minneapolis Star Tribune told a wonderful story of Ecumen’s Summit House at Prairie Lodge, a new option in Brooklyn Center, Minn., for people and families dealing with the extreme behaviors that at times accompany Alzheimer’s. Thank you to the Wagener family for choosing Ecumen’s new housing option and being so candid about telling this powerful story. We salute you!
'Drugs may be a good answer, but it should never be the first answer,' said Janelle Meyers, Ecumen’s director of Prairie Lodge. 'A resident isn’t trying to be nasty or disruptive. It’s the disease talking. If someone is screaming, they’re trying to communicate something. We need to figure out what that is.'
Above are just a few of the innovators (several of whom are pictured at last week’s Ecumen Leadership Conference) who sought a new way to help people and family members dealing with the most extreme behaviors of Alzheimer’s. They are part of an incredible team of people throughout this organization who are delivering a beautiful vision for 'Changing Aging':
We envision a world in which aging is viewed and understood inradically different ways.
Ecumen’s Prairie Lodge in Brooklyn Center: Providing a New Option for Alzheimer’s Behavioral Care
'After going from crisis to crisis, Joan is finally in a place where they have the time and training to really help,' said her husband, Terry, 76, a retired math teacher and businessman from Shoreview. 'How many places can you get kicked out of? Let’s see, for us it was four in one year.'
Terry and Joan are pictured above in the photo by Minneapolis Star Tribune photographer David Joles. Joan lives at an Ecumen community called Prairie Lodge in Brooklyn Center, Minnesota, that is providing a very specialized memory care service in its Summit House residence. Read the powerful Star Tribune story here as told by Warren Wolfe. We thank Joan for living at an Ecumen community and for Terry for sharing his family’s story for others.Every 72 seconds in America someone gets Alzheimer’s. And some people are so ravaged by the disease their mind leads them to do things they would never do otherwise, such as threaten to kill their loved ones or urinate on the floor. As Ecumen’s Janelle Meyers, who leads Ecumen’s Prairie says:
'A resident isn’t trying to be nasty or disruptive. It’s the disease talking. If someone is screaming, they’re trying to communicate something. We need to figure out what that is. Drugs may be a good answer, but it should never be the first answer.'
Last week at Ecumen’s Leaderhip Conference, members of the Prairie Lodge team were honored for their innovation in creating Summit House and enhancing the lives of people (and their family members) who are dealing with the complexities of extreme behaviors caused by Alzheimer’s. They are helping us all achieve the Ecumen vision for 'Changing Aging,' We envision a world in which aging is viewed and understood in radically different ways.