Direct care workers experience pandemic challenges, but rate employer preparation, communication high: study

Originally published in McKight’s Senior Living on 11/19/2020

By Kimberly Bonvissuto

Direct care workers have encountered many work-related challenges during the pandemic, but they say their employers have prepared them and communicated well about COVID-19, according to the results of a recent study.

Researchers with the LeadingAge LTSS Center @UMass Boston discussed the study, which explored the overall stress and specific challenges direct care workers experience during COVID-19, their perceived preparedness and the quality of their employers’ communications around the pandemic, Wednesday during a presentation at the LeadingAge Annual Meeting Virtual Experience.

Verena Cimarolli, PhD

The study involved 852 current and former direct care workers in 45 organizations across the country, representing assisted living, independent living, home- and community based services, nursing homes and healthcare services. Responses were drawn from specific research questions embedded in ongoing WeCare Connect surveys used by 155 aging services providers across the country.

Verena Cimarolli, Ph.D., a senior health services research associate at the LTSS Center, said the most frequently reported work-related challenges direct workers reported were an increased risk of transmission of the virus to or from residents, workload demands and understaffing.

A higher percentage of workers who resigned their position (31%) reported a lack of personal protective equipment as an issue compared with current employees (19%). A “strikingly higher” percentage of workers (24%), Cimarolli said, reported that a lack of protocols or guidance from organizations about caring for residents was a challenge compared with current employees (8%). Continue reading

The Makings of a Mentor – Meet Ellen Birchander

This article originally appeared on the UMass Boston News web page.

We all take different paths in life and, if we’re lucky, we have mentors guiding us along the way. As an undergraduate psychology major, 20-year-old Ellen Birchander was on track to fail her journalism class unless she completed an upcoming article assignment. She was directed by her professor to open the yellow pages and interview someone listed as a contact in the first advertisement she saw, which happened to be Greater Lynn Senior Services. Her assignment not only received an A but led to the first job she’d have in the field of aging.

Out of this serendipity came a passion for the work of aging that developed and evolved over the next 40 years. Birchander went on to lead the development of programs and delivery of services for the Executive Office of Elder Affairs, where she served as Assistant Secretary for Programs. Now, after making a career transition from public affairs to public education, she is teaching, mentoring, and co-directing the Management of Aging Services (MAS) Graduate Program in the Department of Gerontology. Continue reading

Institute Talk: A Conversation with Lisa Gurgone on Supporting Area Agencies That Provide Elder Services

Lisa Gurgone is the executive director of Mass Home Care, the trade association representing the Commonwealth’s network of 28 Aging Services Access Points (ASAPs) and Area Agencies on Aging (AAAs). This single, statewide network of coordinated care delivers home and community based services to over 60,000 individuals per month, providing over $600 million per year in services.

Gerontology Institute Director Len Fishman spoke with Gurgone recently about home care services and how the COVID-19 pandemic has affected both consumers and workers providing care. The following transcript has been edited for length and clarity.

Len FishmanLen Fishman: What would a composite profile of a consumer you serve look like?

 

 

 

Lisa GurgoneLisa Gurgone: The typical age is 82 and about one in five are 90 or older. About 55 percent live alone. We have a lot of women with basic homecare needs, someone to help with shopping and food prep. They may need some bathing assistance or have trouble getting dressed in the morning. People sometimes stay in our system for a very long time and may need additional services as they age. We might sub-contract with a visiting nurses association to provide more skilled care. It runs the gamut but the goal is to help these people stay in the community as long as they want. Continue reading

Gerontology MAS Grad Sharon Rose Worked with Mother to Create Events That Engaged Older Adults

Edith Ginsberg and Sharon Rose

Edith Ginsberg and daughter Sharon Rose.

Editor’s Note: This story about the work of an MAS graduate and her mother was in preparation before the coronavirus pandemic dramatically changed the daily lives of older adults and created the necessity for social distancing. Though some of the events and ideas discussed in the story are not currently possible, we wanted to post the story to recognize their work and look forward to a day when we can all gather again socially in larger groups.

By Taryn Hojlo

It started with a simple problem: Edith Ginsberg wasn’t satisfied with the activities offered at her independent living continuing care retirement community.

Ginsberg, a 95-year-old retiree with an inquisitive mind and a PhD, enjoyed video lectures on a range of topics she had seen online. But she wanted live events she and her friends could enjoy at their Edgewater at Boca Pointe residence in Boca Raton, Fla.

Ginsberg enlisted the help of her daughter, Sharon Rose, a professional entertainment consultant and a 2017 graduate of UMass Boston Gerontology’s Management of Aging Services program. Together they created events that mixed video with live lectures. The program quickly became a big hit. Continue reading

Gerontology MAS Student Kate Martin’s Quest to Improve Care Access for Vulnerable Patients

Kate and Michael Martin, with parents Thomas and Susan Martin

Kate and Michael Martin, foreground, with their parents, Thomas and Susan Martin.

By Taryn Hojlo

Kate Martin and her family were exasperated. Her older brother, Michael, desperately needed professional care to help manage his health and daily needs. But there were few providers in Las Vegas who accepted Michael’s insurance, and even fewer who seemed capable of treating him with the same dignity and respect that other patients received without a second thought.

After a lifelong struggle with epilepsy, Michael had considerable physical and intellectual impairments. Although his condition made him eligible for Medicaid, finding local services that would accept it proved to be a struggle. Those that did often neglected to treat Michael as an individual and failed to involve him in the management of his own care. There were times when Michael wasn’t even addressed during his own appointments.

“He struggled pretty significantly with access to care and getting what he needed,” says Martin, a family physician who will be graduating from UMass Boston Gerontology’s Management of Aging Service masters program later this month. Continue reading