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    Science

    This Is Getting Old: Moving Towards an Age-Friendly World Podcast with Dr. MELISSA BATCHELOR

    Getting older? Guess what – so is everyone else! But aging doesn’t have to mean slowing down or settling for less. Because aging isn’t a problem to fix – it’s an adventure to embrace!

    🎙️ Welcome to This is Getting Old: Moving Towards an Age-Friendly World, the podcast that flips the script on what it means to grow older – and let’s be real, this show is for ANYONE BORN BEFORE 1997 (yes, that’s you, Millennials!).

    Hosted by Dr. Melissa Batchelor, nurse, nurse practitioner, educator, and aging expert, this show dives into the latest innovations, inspiring stories, and real-world solutions that are transforming how we age.

    We cover everything from aging and age-friendly initiatives to brain health, Alzheimer’s disease, and dementia care – because staying sharp and thriving as we age is the real goal.

    Whether you’re caring for a loved one, thinking about your future, or just curious about how to age well—this is the place to be. Expect candid conversations, expert guests, and practical tips—all served up with a dose of humor and heart.

    New episodes drop every week on Tuesdays at 11am ET – so tune in and join the movement towards a better, age-friendly world – if we’re all getting older, et’s get better at it – TOGETHER!

    👉 And please don’t forget to support the podcast by SUBSCRIBING today – and if you find value in the content, please LIKE the episode and SHARE with others who could benefit from the information you learn while you’re here!

    Don’t forget to swing by MelissaBPhD to discover new resources designed to support you on your own aging and caregiving journey! See YOU there!

    Advertise
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    Latest Episodes:
    EP107: The Four Types of Long-Term Memory May 31, 2022
    Show notes

    We've all lost keys, forgotten contact details, or missed someone's name. When you're young, you don't give these lapses much thought, but you could be concerned about what they indicate as you become older.

    The numbers say that age-related memory impairment affects roughly 40% of older adults aged 65 and above, or approximately 16 million people in the United States. Furthermore, it is estimated that just 1% of these people will get dementia each year.

    Are you worried about your memory? Worry no more, for we brought to you another worthwhile episode of This Is Getting Old: Moving Towards An Age-Friendly World—The Four Types of Long-Term Memory.

    Stay tuned and learn the different types of long-term memory, what to expect from memory as we age and how age-related diseases such as Alzheimer's affect memory.

    Key points covered in this episode:

    ✔️ Get A Deeper Understanding Of What Is Memory

    Memory as a concept is the ability to store and retrieve information when we need it. Memory can be categorized as either sensory, short-term, or long-term. Long-term memories are further classified as either explicit (conscious memories) or implicit (unconscious memories).

    ✔️ Why Do We Remember What We Do?

    Our memories create our identities. The current thinking is that we remember experiences that will be important in the future – both positive and negative experiences – and help us with future decision-making.

    ✔️ Learn More About Explicit Long-Term Memories And Alzheimer's Disease

    Explicit Long-Term Memories are either Episodic or Semantic. Episodic memories are events that happen to you and essentially make you who you are, compared to Semantic memories, which are general knowledge and information about the world, like a random fact for filling out a crossword puzzle.

    Both Episodic and Semantic memories are affected by neurodegenerative diseases like Alzheimer's. More notably, Episodic Memories tend to be more upsetting and distressing to the person, family, and friends who share these memories with a person living with Alzheimer's disease.

    ✔️ Get To Know The Four Different Types Of Episodic Memories

    Episodic Memories are memories formed around a particular episode or event in your life and take time to develop and recall. They are formed consciously and deliberately. With this type of memory, you can vividly remember details - like our brains have recorded like a movie.

    #1. Autobiographical Memory

    These are recollections of events that happen to you in your life that make you who you are. For example, a childhood birthday party, a holiday spent with family, or a trip that you went on. You don't remember the whole day, but you remember moments.

    #2. Emotional Memory

    Like autobiographical memories, emotional memories often serve as learning experiences and remind us of who we are now and who we want to be in the future. These episodic memories are tied to an emotional response related to the event. Emotional memories are stronger and last longer than memories that aren't connected to a strong feeling.

    #3. Flashbulb Memory

    Another type of autobiographical memory, flashbulb memories, is of traumatic public events. For example, depending on how old you are, you may remember where you were and what you were doing when President Kennedy was shot or when Pearl Harbor was bombed. You likely have vivid memories of one of these days that you have been able to hold on to – from the most important to the most mundane details – in a photographic record.

    #4. Collective Memories

    It is a narrative shared by an entire generation or group – these could be around flashbulb memories or any other type of episodic memory. We will all have collective memories of living through the pandemic. Some of those memories will be common flashbulb memories – for example, when COVID shut down the entire world.

    ✔️ How Does Alzheimer's Disease Impact Memory?

    Alzheimer's disease affects both short-term and long-term memory.

    Short-term memory goes first, but problems will affect a person's Semantic memory first when it comes to long-term memory. These problems often begin several years before diagnosis. Loss of semantic memory often shows up as word-finding problems or naming things; you lose your nouns first.

    The hippocampus is responsible for transitioning a short-term memory into a long-term one, and Alzheimer's disease slowly destroys this part of the brain. Destroying the hippocampus means your brain cannot form new long-term memories.

    ✔️ More Resources You Can Check About Memory And Alzheimer's Disease

    This Is Getting Old has several other episodes about memory and Alzheimer's. You can check them out below;

    • EP: 65 – What are the Stages of Alzheimer's Disease? Part I: Symptoms of Early- and Late-Stage Alzheimer's Disease
    • EP: 66 – What are the Stages of Alzheimer's Disease? Part II: Symptoms of Late- and End-Stage Alzheimer's Disease
    • EP: 64 – Alzheimer's Disease and Living Alone: Four Signs Someone May Not Be Safe at Home Alone
    • EP: 63 – Alzheimer's Disease and Driving: Five Signs That It's Time to Take the Keys
    • EP 38: Ten Tips for Preventing Alzheimer's Disease

    --------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP106 - What is a Nursing Home? Five Things to Know May 17, 2022
    Show notes

    You'll never be completely prepared to place your parents or a disabled loved one in a nursing home. But, it's best to be ready if and when that moment comes. It is estimated that 50% of the older adults in the U.S. will spend at least a night in a nursing home.

    However, it's sad to note that many families only check out a nursing home when forced by a medical emergency. As a result, they are often unprepared and make fast selections regarding which facility would work for what may be a long time.

    Yes, it is a harsh reality, but don't be concerned. Sure, it should make you feel a little more pressured about your plans and the possibility of needing to make this terrible decision for your parents or loved ones, but that's where This Is Getting Old can help.

    Watch the full episode or listen to the podcast of Episode 106: What is a Nursing Home? Five Things to Know. Take note of the essential things you need to know about Nursing Homes and correct some misconceptions as you stay tuned.

    Key points covered in this episode:

    ✔️What Is A Nursing Home?

    A nursing home is where you go when you need care but you don't need to be at a hospital, but you also can't be cared for at home. It's a middle ground between the hospital and home care.

    Nursing homes play an essential role in our society, yet many people still negatively think about them.

    Why is that so? The negative impression can be attributed to the history of poor care, abuse or neglect that follows this industry after 35 years of regulation by the Federal Government.

    On the bright side, many good people are working in this industry, and they're working to improve the quality of care until it gets where it needs to be for older adults and people living with disabilities.

    ✔️ Who Pays For Nursing Home Care?

    • Federal Dollars: Nursing homes take federal dollars in the form of Medicare for up to 100 days, but not 100% of the bill.
    • Private Pay: After those 100 days of your Medicare coverage and you don't have supplemental insurance, you have to pay out of pocket for the difference.
    • State Dollars: Nursing homes take state dollars, which is Medicaid. But Medicaid is only for people over 65, not people with disabilities who have spent down their own money or otherwise qualify for Medicaid.

    ✔️What Type Of Care Is Provided In Nursing Homes?

    Skilled care! It is at the heart of distinguishing a skilled nursing home from assisted living. Skilled means that a licensed nurse provides some of the needed care each day.

    ✔️Who Provides Skilled Care In A Nursing Home?

    Licensed nurses provide skilled care in nursing homes. This could be a baccalaureate-prepared registered nurse, an associate degree registered nurse, or an LPN (licensed practical nurse). A nursing home must have a licensed nurse in the building 24 hours a day, which could be an R.N. or an LPN. The facility also needs to have a registered nurse that's either the baccalaureate or the associate degree level in the building eight hours a day, seven days a week and on-call 24 hours.

    How does skilled care make Nursing homes different from assisted living?

    Nursing homes are very different from assisted living. Many assisted living advertised providing nursing care, but they're not actually talking about licensed nursing care.

    ✔️Who Provides Most Of The Care In Nursing Homes?

    Certified Nursing Assistants or CNAs do the bulk of the care that's provided to nursing home residents. All nursing staff in nursing homes are underpaid, but CNAs bear the worst of it. They aren't even paid a livable wage, which has to change.

    ✔️What Other Things Could Be Considered Skilled Care?

    Rehabilitation is another skilled care provided by nursing homes. This is done by our physical therapist, occupational therapist, or speech therapist, who are essential team members in the building Monday through Friday during regular business hours. They help our residents get stronger, help them re-learn to do things, help them be independent or they can re-learn communication skills, even help with swallowing.

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP105 - AARP/ Age-Friendly Social Innovation Challenge: Transportation May 03, 2022
    Show notes

    According to the National Association of Area Agencies on Aging, almost 600,000 older adults quit driving each year. This makes doctor's appointments, shopping for needs, visiting relatives, and attending social events more difficult for older adults. As a result, they become more isolated, which has a negative impact on their health and well-being.

    One of the most prevalent forms of assistance offered by family members and caregivers is transportation. However, transporting older adults isn't always convenient or straightforward. For family members and caregivers, transportation is one of the most challenging tasks. According to a 2018 poll by the National Aging and Disability Transportation Center (NADTC), almost 40% of caregivers spend roughly five hours each week providing or scheduling transportation.

    While public transportation is a feasible alternative in many cities, it may be non-existent or limited in rural and suburban areas, where older adults are most likely to live.

    To keep older adults healthy and active, This Is Getting Old rounded up our 10-part AARP/ Age-Friendly Social Innovation Challenge with this series' final episode—Part 10: Transportation.

    Stay tuned to learn moonshot—but possible—innovative solutions and transportation options that help older adults get around.

    Key points covered in this episode:

    ✔️ There's More To Transportation Than Driving

    When we think about transportation, it's more than just driving; it's all the different ways we move around our communities. Transportation includes;

    • cars
    • cyclists
    • sidewalks
    • pedestrians
    • dedicated bike lanes
    • public transportation
    • safe crosswalks for pedestrians
    • smaller transportation options such as taxis, shuttles or rideshare services
    • large scale public transportation options such as trains, busses and light rails

    ✔️Sarah And Her Age-Related Challenges

    Sarah is 69 years young and lives in Alexandria, VA, with her husband, who has Parkinson's. Lately, her eyesight has been failing, making it harder to get things done. She can no longer drive and doesn't feel safe with so many cars everywhere on the streets. On top of everything, it's winter, and it gets dark so early. Sarah doesn't like to ask people for help or favors, but she had to get herself and her husband to their doctors' appointments, and it just feels like too much some days. Sarah needs help but doesn't know how to ask for it.

    ✔️ It All Starts With Information

    Sarah needs a way to get high quality, vetted, affordable, inclusive, relevant information and supportive connections and services. She needs to feel that she is provided and receives the information and resources to manage her life, including getting where she needs to go and managing caregiving responsibilities. Hence, the group came up with the "Best Information System Ever"—the need is the information piece, and the rest can stem from there.

    ✔️ "Best Information System Ever" -Diverse And Inclusive Innovative Solution For Older Adult's Transportation.

    What does it do?

    • Provides high quality, vetted, affordable, inclusive, relevant information and supportive connections and services. It includes all the resources in the region, all-knowing everything at your fingertips and how it's connected

    How does it work?

    • The program includes all resources (new and existing) in the region; the biggest and best database with continuously updated and vetted information.
    • Easy to use (web-based, app-based, and call-in)
    • Well crafted; one click or warm transfer by phone (e.g., easy to get to provider website/phone)
    • Connects people with people and services (rides to anywhere: grocery stores, senior centers, parks, doctors appointments)
    • It will support diversity and inclusion for all users at all income levels and supports all unique needs.
    • It includes trained staff who know all the programs across regions, call to next step, volunteer village - sign up for village and get a ride - connect to neighborhoods.
    • Includes good triage function.
    • Includes quarterly Professional Development for staff on new programs and systems.
    • Includes cross-organization buy-in for all regional organizations. The system can process accounts for users and families, and payments and applications for different programs are included in the database.
    • The service providers are certified and vetted by appropriate organizations.

    ✔️ More Age-Friendly Transportation-related Resources

    You can also check out Episode 70 of this podcast to learn more about Transportation Options for Older Adults and a program called NV Rides. Or if you have a loved one and wonder if it's time to take the keys and limit their driving, you can check out Episode 63 titled Alzheimer's disease and driving: Five signs that it's time to take the keys.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com

    We'd love to hear from you!

    -------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP104 - AARP/ Age-Friendly Social Innovation Challenge: Social Participation Apr 26, 2022
    Show notes

    Facilitating greater participation — specified as engagement in social activities that provide opportunities for social interaction with others in the community — is pivotal for granting older adults to fulfill their basic socialization needs, self-actualization and supporting society in dealing with population aging.

    In the United States, almost a quarter of community-dwelling older adults are socially isolated, and 43% of these older adults report feeling lonely. Due to the crucial nature of such engagement for older individuals' health, its decrease has been linked to substantial health consequences, including a 29% increased chance of death.

    The concern of encouraging older adults to maintain social involvement is only addressed in a narrow context. This Is Getting Old, with our mission to move toward an age-friendly world, invites you to watch the full episode or listen to the podcast of the 9th episode of our 10-part AARP/ Age-Friendly Social Innovation Challenge—Part 9: Social Participation.

    Learn more about valuable programs and innovative solutions that can help you or someone you know.

    Key points covered in this episode:

    ✔️ Loneliness Is A Chronic Disease

    Regardless of one's age, loneliness is often as debilitating as a health condition. It's equivalent basically to having a chronic illness or a disease. Social isolation is equivalent to smoking about 15 cigarettes a day.

    ✔️ Roger And His Social Participation Issues

    Roger is 88 years young and is a retired concert jazz pianist. Roger lived by himself in a small townhouse in Washington DC. And there's a senior center a few blocks from him with weekly game nights and free dinner. He could walk over there but rather not. Furthermore, his doctor told him that he lost 15 pounds at his last physical examination.

    ✔️Social Participation - Problem Statement

    Roger needs a way to thrive physically and emotionally because he appears isolated and has deteriorating health conditions.

    ✔️community Health Navigators For Socially Isolated Adults Like Roger

    Social and community services are critical to healthy longevity, maintaining health and providing purpose. Thus the group came up with Community Health Navigators as an innovative solution for older adults like Roger.

    • Community Health Navigators would be developed to address both the underlying medical conditions and find meaningful connections with the community regarding older adults' health and personal lives.
    • Community Health Navigators work to extend the medical journey for older adults and connect medical care to the needed social services.
    • Community Health Navigators can be social workers or some physician assistant role that would be trained to have compassionate conversations to make sure connections are made within the community.

    ✔️More Ways To Help Older Adults Like Roger

    Check out a program led by the AARP Foundation called Connect2affect at Connect2Affect.org if you are someone you know who is experiencing social isolation. This website will give you more information on getting help for yourself or someone you know, give you other ideas for supporting people in your area, and learn about new interventions to reduce social isolation.

    You can also take the Isolation Assessment; find local and online resources and ways that you can volunteer to serve others.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com

    We'd love to hear from you!

    --------------------------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., RN, FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015, which led to me joining the George Washington University (GW) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP103 - AARP/ Age-Friendly Social Innovation Challenge Long-Term Care Workforce and Caregiving Apr 19, 2022
    Show notes

    The state of health of the individual receiving care is connected to the forms of help and care provided by caregivers. Yet despite this analogy, Federal employment statistics indicate that long-term care workforce concerns remain at a 'crisis' level.

    As per American Health Care Association/National Center for Assisted Living statistics from the January Bureau of Labor Statistics Employment Situation data, a 6.7% drop in the assisted living workforce indicates a loss of 31,200 caregivers, from 463,100 workers in February 2020 to 431,900 in January 2022.

    Thus, to provide better care for millions of older Americans, the United States needs a roadmap to a sustainable, reinvented workforce of professional caregivers.

    To this end, today's episode of This Is Getting Old features Part 8: Long-Term Care Workforce and Caregiving of the 10-part AARP/ Age-Friendly Social Innovation Challenge.

    Watch the full episode or listen to the podcast to learn more about valuable programs and innovative solutions specifically designed for older adults and healthcare providers.

    Key points covered in this episode:

    ✔️Partake Into Leoña And The Long-Term Care Workforce's Case Scenario

    The case study for Leoña:a

    Leoña was 58 years old, came to D.C. four years ago from Nigeria, and worked as a home health aide. She had been a hospital nurse in her home country, skilled and experienced, but she didn't feel seen by her bosses. She felt a real connection to her patients but found the work very hard, and she had difficulty with this kind of work. She needed to find a way to care for herself and her family while still being up for the challenge of helping her clients.

    ✔️ Long-term Care Workforce - Problem Statement

    Leoña is burned out and will leave the field if we don't start listening to her and paying her more than an hourly wage. Working in a flawed long-term care system, she lacks a way to be heard, valued, and advance in her career.

    ✔️ Innovative Solutions— Leoña As An Essential Worker

    Given the political moment, the time is right to call for systemic change and create a better individual situation for Leoña. This include:

    • becoming a salaried employee
    • receiving local recognition
    • securing employer-employee communication,
    • succession planning around important work that she was doing

    ✔️ More Ways To Help Leoña

    The team passionately asserts that caregiver Leona should be recognized as an essential worker—she is like a firefighter. There were different levels of recognition that caregivers should have, and they should have people on the team who had experience with offering rewards and awards to people in their localities.

    ✔️ Giving Voice To Our Unheard Caregivers

    There was also the recognition caregivers like Leoña do not feel heard. Leoña and caregivers should be able to tell their stories and set goals that will place them on a career ladder. We wanted her and people like her to be able to identify these challenges and begin to work with their employers to overcome challenges.

    You can also check out Episode 69 with Dr. Marc Cohen, where we discuss the basics of how long-term care is paid for now - and talk about future trends for the long-term care insurance industry.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com

    We'd love to hear from you!

    --------------------------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP102 - AARP/ Age-Friendly Social Innovation Challenge: Lifelong Learning Apr 12, 2022
    Show notes

    Learning throughout one's life encourages social inclusion and improves one's health.

    There's a substantial correlation between learning and improved health, especially among older adults. The notion of life-long learning encompasses not only the acquisition of job-related credentials but also the promotion of learning throughout one's life to improve overall well-being.

    While 73% of older adults in the United States of America consider themselves lifelong learners, educational engagement tends to decline as people become older. Still, it's never too late to gain new skills and information. This presents a challenge to organizations, employers, and policymakers, who must guarantee that everyone has the opportunity to obtain, retain, and acquire new skills throughout their lives.

    Toward these goals, This Is Getting Old, with our mission to move toward an age-friendly world, features Part 7:Lifelong Learning of the 10-part AARP/ Age-Friendly Social Innovation Challenge.

    Watch the full episode or listen to the podcast to learn more about valuable programs and innovative solutions specifically designed for older adults and healthcare providers.

    Key points covered in this episode:

    ✔️ Does Julio's Case Sounds Familiar?

    Julio is 55 years old and lives in Hyattsville, MD, with his wife, three children and dog, Fluffy. He has worked as a hospice nurse for nine years now and loves his work. But, Julio feels stuck and burned out. The pay isn't great, and he has to work about 70 hours a week to make ends meet. Julio would love to see fewer patients and learn to be a manager. Still, sometimes he thinks he would have better chances in IT. So, Julio thinks of leaving healthcare altogether and enrolling in a technical community college.

    ✔️ Lifelong Learning - Problem Statement

    Julio needs a way to increase income and job satisfaction and find a life-work balance because he's burned out and unhappy. This problem results from the employer's lack of attention, support and employee development programs designed to help care workers thrive and grow within the healthcare industry.

    ✔️ Lifelong Learning - Innovative Solutions

    • Identify nonprofit or public resources that can provide low-cost or free career counseling or training services for mid-career workers or the 55+ cohort, including how to advocate with employers. If recommended and feasible, continuing education may be undertaken.
    • Encourage Julio's employer to create pathways within the organization for upward mobility, including training, mentoring, job exploration, and higher pay. This might occur through partnerships with local community colleges, for example.
    • Research concept of unionizing, organizing workers in the caregiver industry to achieve fairer working conditions (higher pay, fewer hours, meaningful support on the job, opportunity for promotion).

    ✔️ Nobody's Too Old To Learn

    Lifelong Learning involves being intentional about learning new things - no matter how old you are. Essentially, participation in cultural and recreational activities is essential for our health and the quality of life in our communities as we age. Thus, older adults should increasingly participate in lifelong learning programs and bring a lifetime of experiences to intergenerational programs - like ice skating! Besides, there's nothing wrong with learning a new physical skill and an intellectual one! Both types of lifelong learning are beneficial!

    ✔️More Ways To Help Julio

    The challenges that Julio faces could potentially be made better if he worked for an Age-Friendly Employer - and if you haven't heard of that program, you can check out episode 58 with Tim Driver, Founder and CEO of Age-Friendly Ventures.

    Another option for retooling could be finding an Age-Friendly University, and if you haven't heard of this initiative, please check out my interview with Dr Joanne Montepare in Episode 55.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where you can find this episode - MelissaBPhD.com

    We'd love to hear from you!

    --------------------------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP101 - AARP/ Age-Friendly Social Innovation Challenge Housing Apr 05, 2022
    Show notes

    One in every five Americans—nearly 80 million people—will be over 65 in 20 years, and surveys suggest that almost 90% intend to stay in their own homes as long as possible. However, the nation now lacks the affordable housing and accompanying social services required to meet these needs.

    In particular, the four issues are;

    1. The majority of houses in the United States are inaccessible to older adults with limited mobility.
    2. Many older Americans who remain at home will need pricey long-term care.
    3. Millions of older adults cannot maintain their present living arrangements due to financial constraints.
    4. Isolation is common among older adults who live alone.

    We invite you to join us in another episode of This Is Getting Old with these circumstances in mind. Today's episode is Part 6: Housing—the 6th episode of the 10-part AARP/ Age-Friendly Social Innovation Challenge.

    Watch the full episode to learn more about housing-related issues, programs, and innovative solutions for older adults.

    Key points covered in this episode:

    ✔️Aging In America As Seen In Nomadland

    Have you watched Nomadland?

    The 2020 movie Nomadland has so many issues related to aging in America, from managing multiple chronic illnesses while living in a van, to finding employment after the age of 60. But it also has some heartwarming scenes because it demonstrates the importance of having a social network and being connected to other people, no matter how old you are. The movie shows resilience and how some older adults find a solution to losing their homes.

    ✔️ Housing - Scenario

    Monica, 67 years old, is living in Alexandria. She's lived in the same neighborhood for 30 years, a small two-bedroom house and her partner died about seven years ago. Since her arthritis has gotten worse, she's been thinking about leaving her home so she can afford to move, but nothing in her neighborhood is affordable. She's worried that she'll need in-home care or need to remodel her home and make it more accessible for mobility declines. Monica got a home equity loan on her house to help her kids buy their own homes. Also, Monica's currently living on Social Security, which will not cover higher housing or care costs.

    ✔️ Housing - Problem Statement

    Monica needs a way to transform her community because she has roots, connections, and a sense of community written into the fabric of her life.

    ✔️ Housing - Innovative Solutions

    To help Monica and others access more affordable options and resources, we need to reframe the conversation around zoning and land use in our communities to increase density and encourage mixed-use.

    More notably, community support, family, and friends are important for Monica—this is important for all of us - no matter how old we are.

    ✔️ Aging In Place Solutions for Older Adults

    Aging in Place begins with Housing. Ideas to solve these problems include;

    • Forward-thinking when designing communities as Ryan Frederick does - retro-fitting spaces to be physically accessible and safe with universal design solutions.

    If you'd like to learn more about Housing options and different models for housing, you can visit the AARP website on Housing in Livable Communities.

    You can also check out episode 40 on the Role of Place in Healthy Aging with Ryan Frederick on MelissaBPhD.com or on our YouTube channel.

    • CAPABLE stands for Community Aging In Place: Advancing Better Living for Elders and is a person-directed, home-based solution that addresses both functional ability and healthcare expenses. CAPABLE provides integrated services by an Occupational Therapist, a Registered Nurse, and a handyman who all work together with the older adult to set goals and develop a plan to change behaviors to improve health and promote independence and safety.

    If you'd like to learn more about this program, you can visit the website or email CAPABLEinfo@jhu.edu for more information.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com

    We'd love to hear from you!

    ---------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP100 - AARP/ Age-Friendly Social Innovation Challenge Emergency Preparedness and Resilience Mar 29, 2022
    Show notes

    Join us in today's episode of This Is Getting Old—Part 5: Emergency Preparedness and Resilience. This series is related to the 10-part AARP/ Age-Friendly Social Innovation Challenge participated by George Washington University's Center for Aging, Health and Humanities, our five regional age-friendly municipalities, and our multiple partners.

    Watch the full episode to hear about some resources that may be helpful to you and your family.

    Key points covered in this episode:

    ✔️Emergency Preparedness and Resilience In Concept

    The concept of emergency preparedness and resilience generally means the ability of any community to respond to an emergency that impacts all residents. Anything like a natural disaster could range from a hurricane, a tornado, a blizzard, but anything that requires people to shelter in place or displaces them.

    ✔️ How Communities Should Handle Emergencies?

    How communities handle emergencies can either be integrated-oriented or segregated-oriented. But if it's an age-friendly city, it should be integrated-oriented to include all populations. Either way, during an emergency, any resident with mobility problems, chronic health conditions, or hearing, vision or cognitive impairment need to be prepared for emergencies by creating a plan, reviewing or practicing it regularly, and keeping an emergency supply kit.

    ✔️ Emergency Preparedness and Resilience - Scenario

    Earl is 71-years young, a retired bread company manager who lives in Arlington, VA and moved 12 years ago from Houston, TX, after losing his wife in a hurricane flood. Earl lives alone but has good friends in Crystal City. He can still get around on his own, walking and taking the bus. Lately, it has been raining, and Earl's home has flooded. His electricity is out, and he has no running water. Earl has been alive a long time and feels like he should know what to do, but help seems so far away.

    ✔️Emergency Preparedness and Resilience - Problem Statement

    Earl needs to know what resources/supports are available to him locally because he needs to resolve the flooding in his home and possibly find temporary housing. Additionally, we need to connect him with a long term system of support to prevent/problem-solve these emergencies, either before they happen/as they happen.

    ✔️Emergency Preparedness and Resilience - Innovative Solution

    A localized, community-specific emergency system/infrastructure should be developed that is flexible and composed of first responders, volunteers, liaisons, the aging network, the first community network, advisory council that includes older adults. This system could be used to:

    • proactively identify those who are most vulnerable (pre-emergency)
    • create an "emergency contact network" in the community to run through drill scenarios to prepare
    • meet immediate needs of individuals during emergencies
    • conduct follow up post-emergency to connect individuals to systems of support and wider community (beyond their immediate needs during a time of crisis)
    • conduct follow up surveys to determine whether targeted individuals/beneficiaries received appropriate support and information

    ✔️Helpful Information – How To Prepare for an Emergency?

    Here's some information that may help you avoid problems during an emergency:

    • Ready.gov lists essential items to have in a Disaster Supply Kit.
    • Make sure you have a 3-day supply of medications, extra batteries for hearing aids, information about medical devices needed like a wheelchair, walker, or even an oxygen machine.
    • The CDC has a document called the Complete Care Plan to guide you through essential documents to keep in waterproof bags, and you should take photos of each document as a backup.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com

    We'd love to hear from you!

    ---------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP99: AARP/ Age-Friendly Social Innovation Challenge Community Support and Health Service Mar 22, 2022
    Show notes

    The proportion of older adults with unmet care and support needs continues to grow significantly as care systems face significant problems in the United States of America. Although 20% of older adults aged 60 and over use home- and community-based support and health services, many older American's and their families have a vague understanding of what is available for older adults.

    Addressing these unmet requirements is quickly becoming a top public health priority.

    This week's episode of This Is Getting Old features Part 4: Community Support and Health Service. This episode is of the 10-part AARP/ Age-Friendly Social Innovation Challenge.

    Watch the full episode or listen to the podcast to learn more about community support, health services, and programs specifically designed for older adults.

    Key points covered in this episode:

    ✔️What are Community Support Services? Community supports are local services; such as an active intergenerational community center or a recreational center. These services and locations make it easier for older adults to connect and build community ties.

    ✔️ What are Health Services? Health services include primary care providers, mental health services, substance abuse and treatment programs, preventive and health maintenance programs, rehabilitation programs, pharmacy services, and dental care - to name a few.

    What Worries June? Hear Maria Teresa McPhail, MD President & CEO At Vida Senior Centers' present a scenario developed by our Design Thinking Team about June.

    June is 84 years old and a retired accountant. She lives in an area considered a "food desert," and she's afraid of COVID, even though she's fully vaccinated. When she runs low on groceries, the nearest grocery store that sells affordable, fresh groceries is seven miles away; she had no other option but to travel.

    June's Problem Statement Dr. Maria Teresa McPhail elaborated that June needs a way to access fresh and healthy food, socialize with other people because she has transportation barriers, lives alone, and has COVID-19 concerns.

    Community Support and Health Services - Innovative Solution For June

    The team came up with "Creating Community Through Food" as an innovative solution for Community Support and Health Services for older adults like June.

    Creating Community Through Food is a weekly, seasonal intergenerational cooking class.

    What it does is;

    • Offer outdoor cooking classes in the summer and virtual cooking sessions in the winter.
    • Through this program, Community Supported Agriculture (CSA) brings local foods and includes a "know your farmer know your food" component.
    • It also includes transportation to the outdoor site, and volunteers will participate in developing peer-to-peer support.
    • Volunteer high schoolers and college students involved can gain service hours.
    • Healthcare institutions see the program as a potential to recruit for career paths in long-term care and involve dietician students.
    • Essentially, the program encourages adults and older adults to attend in person to refer them to other resources based on need and be involved in senior centers that may have existing similar programs.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com

    We'd love to hear from you!

    ---------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


    EP98: AARP/ Age-Friendly Social Innovation Challenge Civic Engagement and Employment Mar 15, 2022
    Show notes

    With the population's aging, community engagement has become a critical factor in achieving healthy aging. Low levels of community engagement have been associated with higher death rates and social isolation.

    In line with these themes, the active aging approach of the World Health Organization and the age-friendly community strategy are both participatory and empowering. They blend 'top-down' policy initiatives to encourage and facilitate community engagement and employment with 'bottom-up' participation of older adults in developing their activities.

    Furthermore, the process involves older adults and all levels of government, and essential players from all aspects of society.

    Today's episode of This Is Getting Old features Part 3: Civic Engagement and Employment of the 10-part AARP/ Age-Friendly Social Innovation Challenge.

    Please tune in to learn more about civic engagement and employment programs specifically designed for older adults and how these programs can help us move towards an age-friendly world.

    Key points covered in this episode:

    ✔️Civic Engagement As A Concept

    Civic engagement includes:

    • Connecting with others in your community.
    • Serving and giving
    • Any activities such as volunteering
    • Charitable giving
    • Voting in presidential and local elections

    Given we also talk about employment, if you haven't heard of the Age-Friendly Employer program, you can check out episode 58 with Tim Driver, Founder, and CEO of Age-Friendly Venture.

    Also, check out related This Is Getting Old episodes 90 and 91 with Larry Samuel.

    ✔️ Joseph's Situation

    Joseph lived in Brooklyn with his daughter and school-age grandchildren. He got in trouble because he ordered magazines from the phone—which is a scam— and his daughter told him he couldn't use the phone anymore. Joseph is 79, retired, and wants something to do. He feels like he's home alone in the daytime and doesn't know how to proceed.

    ✔️The Problem?

    Many programs to connect people to civic engagement and employment opportunities already exist. However, many people—like Joseph— don't know about them.

    ✔️The Challenge?—Reaching Target Audiences With Information About Civic And Employment Opportunities.

    There are a lot of resources, and the challenge is reaching the target audiences, which includes older adults and their families. After all, everyone is aging, so they'll need information about civic engagement and employment at some point.

    ✔️innovative Solution On The National Level

    Promote a nationwide initiative, creating awareness that older adults' civic engagement and employment opportunities exist and are essential to their well-being.

    ✔️Community Ambassador Programs

    Local-level ambassador programs, giving a personal connection to the opportunities shared in these outlets, local volunteers receive training to work in their neighborhoods, connecting them personally with people to find them the right opportunities for them.

    You may also have another idea for a solution - or know of a program that would help older adults and their families facing similar challenges. Please add your comments below this video - or on my website where this episode can be found - MelissaBPhD.com

    We'd love to hear from you!

    --------------------------------------------------------------

    If you have questions, comments, or need help, please feel free to drop a one-minute audio or video clip and email it to me at melissabphd@gmail.com, and I will get back to you by recording an answer to your question.

    About Melissa Batchelor, Ph.D., R.N., FNP-BC, FGSA, FAAN:

    I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post-master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11). I then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the George Washington University (G.W.) School of Nursing faculty in 2018 as a (tenured) Associate Professor. I am also the Director of the G.W. Center for Aging, Health, and Humanities. Please find out more about her work at https://melissabphd.com/.


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