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Elderly Care

Elderly Care

FIGHTING FOR DIGNITY: A FILM ON INJURIOUS AND FATAL RESIDENT-TO-RESIDENT INCIDENTS IN LONG-TERM CARE HOMES

"The phenomenon of resident-to-resident incidents is now recognized as an international public health problem." - From the film

A large number of injurious resident-to-resident incidents in long-term care settings are not recognized, reported, nor prevented. Through the graphic and deeply painful experiences of three families whose vulnerable loved ones were either physically or sexually harmed, this powerful 20-minute film encourages care providers to improve care practices that would help prevent such episodes.

As it sheds light on the under-studied and under-recognized phenomenon of injurious and deadly resident-to-resident incidents, the film also emphasizes the need to understand that behavioral expressions labelled as "aggressive" in the context of dementia, typically occur when the "fighting" resident's own emotional and physical needs are not being met.

Fighting for Dignity provides a much-needed framework in which to:

1. recognize the potential consequences of serious incidents on residents (psychological distress, falls, physical injury, and death), and the profound emotional impact on their family members,

2. improve the safety of vulnerable and frail elders by recognizing the emotional cues and situational frustrations that can help prevent harmful incidents, and

3. offer a professional and timely response to harmful incidents, including the provision of adequate emotional support to family members.

The film is accompanied by an informative 76-slide PowerPoint that identifies:

Unmet human needs that often underscore behavioral expressions in persons living with dementia

The definition and prevalence of Distressing and Harmful Resident-to-Resident Interactions

Contributing factors, causes, and situational triggers

The effect of these episodes on residents and families

Persistent barriers for change in addressing these episodes

A series of psychosocial strategies for prevention and de-escalation

It also pinpoints the critical role of adequate staffing levels, specialized dementia-specific staff training programs, and the importance of personally meaningful engagement of residents living with dementia. Finally, it describes screening and assessment instruments that should be used as an integral part of all prevention efforts aimed at reducing these incidents and keeping residents with dementia safe.

A must-see training resource for all health care professionals, managers, administrators, and owners of nursing homes and assisted living residences, as well as, culture change advocates and policymakers.

DVD / 2020 / 20 minutes

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TOO SOON TO FORGET: THE JOURNEY OF YOUNGER ONSET ALZHEIMER'S DISEASE

"You don't have to be old to hear the words, 'You have Alzheimer's'." - from the DVD

Living with Alzheimer's is a challenge - affecting the lives of everyone it touches. Imagine, however, the hardships of living with Alzheimer's in midlife. B. Smith, a supermodel, celebrity chef, and lifestyle maven, was diagnosed with younger onset Alzheimer's at the age of 62. Together with her husband, Dan Gasby, they host Too Soon to Forget. Through nine families, this revealing 2-DVD set explores the emotional experience of younger onset Alzheimer's - from the loneliness and isolation, to common adjustments, and finally to the healing power of community.

DVD 1 (Documentary plus two Supplemental Features) - 78 minutes

DVD 2 (Eleven Additional Supplemental Features) - 90 minutes

Comforting, empowering, and refreshingly honest, this package provides a wealth of timely information to help those diagnosed with early onset Alzheimer's (and their families) better understand and navigate this journey together. It also documents how communities can help create awareness and support to make life better for persons living with dementia.

DVD / 2018 / 168 minutes

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WILL POWER

The unforeseen legal and emotional challenges of elder caregiving (and end-of-life care) often tear families apart... How do you deal with it?

Will Power uses the filmmaker's personal experiences in saving his ancestral land to provide a powerful framework for action to prepare siblings and their parents for the emotional, financial, and legal challenges that age and death can bring on. It is usually difficult for families to gather and discuss issues related to elder care, estates, and finances, and Will Power provides an entertaining platform to spark much-needed discussions on these too often avoided topics. It is not only a "how to" guide, but more importantly, a "why to" guide that offers the tools and information needed to navigate and complete proper legal planning for seniors. Topics include: fiduciary responsibility, trusts vs. wills, power of attorney, health care proxy, living wills, sibling rivalry, and value and heritage of land.

Will Power's stunning visuals, combined with rich music and nostalgic imagery, weave a tapestry of sentiments relevant to every viewer's experience with family and youth, as well as, life and death. Ultimately, the film shows how strength through self-discovery, brings personal redemption, proving the power of one's own will.

DVD / 2018 / 53 minutes

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MY FATHER'S HOUSE: A JOURNEY OF LOVE AND MEMORY

By Hannah Reimann

Hannah Reimann's self-produced film, a love letter to her father, tells the story of her father, Dr. Peter Reimann and his trauma-related dementia, her sister Kim, their devoted Korean housekeeper, Mrs. Man Cho Lee, and herself. Their life in suburban New Jersey serves as the backdrop for a universal story about dementia, death and dying, albeit within the context of their unique personal experiences caring for Dr. Reimann in the last three years of his life.

My Father's House touches us in the rather deep places we don't often venture. The film allows caregivers to see that there are others going through similar circumstances and that they are not alone. It assures us that the path of caregiving, however painful and unpredictable, is a worthy one, one that redeems and one that rewards us with the silent, unforeseen promise of comfort and peace at the time of a loved one's death. My Father's House shows us that death is not something to be feared, but to be embraced in the context of a fatal illness, empowering both the living and the one who has passed.

DVD / 2017 / 28 minutes

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SEXUALITY, INTIMACY, AND DEMENTIA IN RESIDENTIAL CARE SETTINGS

This 5-chaptered DVD brings forth a thoughtful, much needed exploration of sexuality, intimacy, and dementia, and the complex issues that impact residents, family members, and care staff. Through five 15- to 20-minute videos, the DVD looks at the relevant concerns of intimacy and sexuality on quality of life, freedom to express sexuality, capacity to consent, resident protections, and potential legal ramifications. It also touches on the needs of LGBT residents, how to address resident-to-resident and resident-to-visitor encounters, and how to find workable solutions with the support of family members.

The 5-DVD Chapters cover:
Part 1: The Effects of Dementia on Intimacy and Sexuality
Part 2: Responding to Sexual Expressions
Part 3: Consensual Intimacy and Sexuality
Part 4: Spousal and Family Responses
Part 5: Non-consensual Intimacy and Sexuality

This DVD poses many relevant questions, and is designed to equip care staff with a well-rounded understanding of the sensitive issues concerning intimacy, sexuality, and the rights of persons with dementia, as well as, how to respond to expressions of sexuality in a manner that promotes both resident dignity and safety.

DVD / 2017 / 78 minutes

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FLORE

Meet Flore. A painter and mother of three, diagnosed with Alzheimer's. After a series of admissions to various medical institutions, Flore's restless wandering, fits of aggression, and destructive behavior brought on an increase of medications - and a severe decline in mobility and nutritional health. They said Flore would never walk again, and recommended that she be placed in a secure locked unit. Flore proved them wrong.

Chronicled over a three-year period, this scenic and beautifully filmed DVD shows the power of love and individualized care, and also demonstrates the potential resilience of persons diagnosed with Alzheimer's.

Filmed through the eyes of Flore's son (and Flore herself), the DVD gives us an intimate passenger's view of Flore's journey. It starts with her diagnosis of Alzheimer's, documents her early changes, and takes us through her multiple treatments and relocations. We are there when her son rejects the recommendation to finally relocate her to a secure unit, and decides to bring her back home to Corsica - to the life and surroundings she knew and loved.

Home again, amid the lush green countryside, gentle ocean waves, sandy beaches, and hiking trails, something happens - Flore slowly starts to "blossom". With the assistance of home caregivers and medical staff, and through trial and error, Flore is encouraged to re-engage in life and activities. She arrived in a wheelchair, but she soon gets the urge to stand, then walk, then swim! She slowly starts to eat again and connect with others and her environment. Flore's "alternative therapy" transformed her.

A loving tribute to a cherished mother and a hope-filled empowerment tool, this film inspires families and caregivers to reach toward (and succeed in) giving persons with Alzheimer's the best lift possible.

DVD / 2014 / 90 minutes

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HE WOULDN'T TURN ME LOOSE: THE SEXUAL ASSAULT CASE OF 96-YEAR-OLD MISS MARY

This DVD presents the real-life case of 96-year-old Miss Mary, who was financially exploited and later, sexually assaulted by her grandson. Miss Mary had been living with her grandson and his wife for five years during which financial abuse took place. Then, one evening, when his wife was out, the grandson sexually abused Miss Mary for several hours, leaving her bruised from head to toe.

After the attack and hopitalization, Miss Mary was placed in a nursing home under the name "Jane Doe" for safety reasons. Miss Mary's family refused to believe her and refused to support her; her primary social interactions were with staff and resisdnts of the nursing home, and the advocates she met after the assault. However, Miss Mary retained her strength of character, and fully participated in the subsequent trial and prosecution of her grandson.

Through interviews with Miss Mary, various professionals involved in investigating and trying the case, and with victim advocates who helped Miss Mary, the DVD reveals some of the dynamics involved in this case, and how it was successfully brought to trial and prosecution.

DVD (Closed Captioned) / 2012 / 28 minutes

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LAST WILL AND EMBEZZLEMENT

"Of all the illegal and illicit enterprises in the world, elder exploitation is among the safest and most profitable. It's a criminal's dream..." - from the DVD

Financial elder abuse can happen to anyone...anywhere...anytime. These facts lay the groundwork for this riveting film as it exposes the global problem of financial elder abuse and its growing impact on a rapidly-aging population. It identifies why many older adults become vulnerable, tactics perpetrators use to gain trust, and what families and professionals can do to help protect loved ones and older adults in their care from financial abuse.

It also documents two hard-to-forget stories of exploitation:

Producer Pamela S. K. Glasner shares how her parents' life savings were embezzled by a man who insinuated himself into their lives, and her attempts to set things right.

Hollywood icon, Mickey Rooney, tells how he lost millions of dollars through a trusted family member.

A must-see resource for seniors, family members, and service providers in all disciplines and walks of life.

DVD / 2012 / 23 minutes

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I WON'T GO

"I was born in this house." I will never leave this house. I'm perfectly happy." - Oli Truss

Meet Oli Truss. She's an eccentric ex-headmistress in her nineties, who now lives isolated and housebound in her condemned country cottage, her companions being a cat, a dog, and a small Shetland pony named "Baby". The cottage has rats, the floor is littered with animal droppings, cobwebs decorate the windows, and maggots squirm in leftover food in the kitchen; but Oli won't hear of leaving her home. Happy on her own, she gets up every morning around 7:15 for a biscuit, and a cup of tea - when she can find her cup, that is. As the water runs nonstop in the sink, Oli wonders why the empty water pot on the counter is not boiling, admitting that "I can't always think quickly like I used to". She accepts the bare minimum of help home care workers on the first floor, as the second floor is now off limits to everyone.

At what point is further intervention mandatory? Should she be allowed to live life her way?

Not easily forgotten, "I Won't Go" paints an intimate and representative protrait of countless older adults whose only "crimes" are growing old, and wanting to keep their independence - at all costs. Oli's story brings home the complex issues of self-neglect, competence and capacity, the innate desire for independence, and the right to live and die at home with dignity.

A must-see for all social, legal, law enforcement, mental health, and geriatric services providers

DVD / 2010 / 28 minutes

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INTO THE OTHER LANE: DRIVING AND DEMENTIA

This two-part DVD presents a compassionate, yet realistic portrait of the many issues faced by persons with dementia, (and their caregivers) when a decision has to be made about giving up driving.

Part One
Stories shows the real stories of five persons with dementia, and the impact that no longer being safe to drive makes on the autonomy and self-esteem of the person with dementia, as well as, the effects on family relationships and life styles. The stories are four to eleven minutes long, and put a human face on how it feels to be told that you can no longer drive, and how it feels to be a caregiver in this emotionally-charged process.

Part Two
Related Issues includes helpful insights from healthcare and driving safety professionals on how Alzheimer's affects driving ability, how to initiate the conversation about driving cessation, transportation options, and what healthcare specialists can do to help facilitate the situation for both the person with dementia and the caregiver.

DVD / 2010 / 56 minutes

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IS IT THE RIGHT TIME? THE NURSING HOME DECISION

This follow-up DVD to More Than a Thousand Tomorrows (the story of Betty and Everett Jordan's struggle with Alzheimer's Disease) deals with the tough decision of nursing home placement, and how the Jordan family struggled with that decision.

In this DVD, Is it the Right Time? The Nursing Home Decision, several of Everett and Betty's children participate in a social worker-facilitated discussion of how that decision was made and how the communication regarding the decision might have been better handled. Their frank and honest questions and answers shed light on the importance of keeping open the lines of family communication around the timing of this very emotional and difficult decision.

DVD / 2010 / 13 minutes

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AT THE BREAKING POINT: EMOTIONS AND ETHICS IN FAMILY CAREGIVING

This DVD gets to the emotional and ethical core of family caregiving. It offers short video excerpts, (3- to 8-minutes each) that reflect on several crucial aspects of family caregiving-from the effects of Alzheimer's on the spousal relationship to the right to die with dignity. Each excerpt shows real families in the midst of dealing with real challenges. Handled with unprecedented candor, each chapter provides a trigger for further discussion of the topic. Each short video also provides a way to help others acknowledge and address the specific challenges involved in caring for a loved one. The DVD is chaptered for easy access to a specific topic, and can be incorporated into a Power-Point presentation.

Chapters:
1. A Couple Faces Alzheimer's
2. A Family Faces Alzheimer's: The Nursing Home Decision
3. Giving Up The Keys: Driving And Dementia
4. Complaints Of A Dutiful Daughter
5. The Struggle Over Independence
6. A Daughter's Anguish
7. Dying With Dignity At Home

DVD / 2009 / 46 minutes

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ELDER MISTREATMENT ASSESSMENT

Elder abuse or mistreatment can take on various forms that often go undetected. The Elder Assessment Instrument (EAI) is designed to help caregivers identify possible abuse, neglect, exploitative, and abandonment indicators. The DVD encourages a team approach in incorporating elder abuse screening in the general older adult health assessment, and takes a realistic look at the potential challenges associated with an accurate assessment, such as patient restriction on sharing of information, and limiting caregiver presence during assessment.

DVD / 2009 / 39 minutes

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FALL RISK ASSESSMENT (HENDRICH II)

Falling can pose a serious health risk to older adults in acute, home, and institutional environments...Using the Hendrich II Fall Risk Model, this DVD demonstrates how to assess patients for strength and mobility, extrinsic and intrinsic fall risk factors, and cognition. It also stresses the importance of assessing risk factors when conditions change, as well as, how to reduce fall risks by properly interpreting the assessment, and applying appropriate interventions.

DVD / 2009 / 34 minutes

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MOTHER NEVER GIVES UP HOPE, A: OLDER MOTHERS AND ABUSIVE ADULT SONS

This DVD shares the candid and powerful stories of Ruth, Lova, Anne and Rita--four women who are dealing with abuse at the hands of an adult son. In their own words, they work through the emotions and pain of experiencing abuse from their sons, the life-changing impact it makes on them as a person and how it affects their mother-son relationships. The video also gives a "two year progression" window in which the women look back on how they have adapted or changed as a result of the abuse--one takes back her own personal power, another feels "re-victimized" by the system for not being able to maintain a relationship with her son. Both emotional and empowering, the stories provide firsthand insight on how advocates can better assist other survivors of this under-reported form of elder abuse.

DVD / 2009 / 42 minutes

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SELF-NEGLECT: WHAT WE CAN LEARN FROM THE MARY NORTHERN CASE

Putting a human face on one of the most complex and important self-neglect cases of our time, this DVD introduces us to Mary Northern--a 72 year old woman with gangrene in her lower legs, who refuses surgery, insisting her legs were just dirty. It documents her early life and accomplishments, lists the known facts of the case when first reported to Adult Protective Services, and provides a progression on the case and the subsequent interventions. Through the presentations of several expert panelists, the program delves into the tough issues of capacity and competence, and provides an informative look at the ethical, legal, social, financial, and mental health concerns involved in serving the best interests of vulnerable older adults.

DVD / 2009 / 99 minutes

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MORE THAN A THOUSAND TOMORROWS

More Than a Thousand Tomorrows revisits one of the couples, Everett and Betty Jordan. This DVD looks at the progression of changes Alzheimer's causes in their intimate relationship--over a seven-year period. Central to the video is Everett's candid discussion of his feelings and decisions regarding his ongoing intimate relationship with Betty, and how he has coped.

DVD / 2003 / 22 minutes

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ELDER ABUSE: FIVE CASE STUDIES

This video explores the issues of family abuse against an older adult very personally from the point of view of five different victims. Their candor in telling about their situation gives the viewer insight into the ambivalent feeling of older abuse victims as they try to find resolution to their pain. In the context of their struggle we also see the various interventions that can be used to help stop the abuse, including counseling, shelters, supportive services and legal action.

Each of the cases in this video is real - not reenacted - and has been tracked over a period of time.

DVD / 40 minutes

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I'D RATHER BE HOME

This video follows, over a period of seven years, the case of Norman, an older man repeatedly abused by one of his adult sons. The son lives at home (along with Norman's wife and other adult son). Since Norman is unwilling to take legal action, the situation seesaws for years with Norman leaving home for short periods of time and then returning, hoping his son will change. Eventually, after a severe beating, Norman ends up in a nursing home, has a mild stroke and is placed under state guardianship.

I'd Rather Be Home reveals the events that happened subsequent to those chapters, and opens up several issues central to dealing with elder abuse cases.

DVD / 30 minutes

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IN THE MOMENT

This program takes a look at how two different families deal with the stresses and changes involved in caring for a parent that has Alzheimer's. The Honel family decides to care for their father in their own home, and they deal with the profound emotional stresses that accompany that choice. The Hagwoods make use of adult day care and then finally face the need to place their mother in a nursing home. This program raises several issues central to the experience of caring for someone who has Alzheimer's disease, and will generate amoung those who see it much therapeutic discussion.

DVD / 25 minutes

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IN THEIR OWN WORDS: DOMESTIC ABUSE IN LATER LIFE

This 2 DVD set uses the voices of older victims to facilitate a dialog among a range of professions about the dynamics of abuse, the barriers these victims have to overcome to live free from abuse, and interventions and potential collaborations that may be effective in such cases.

In addition to individual segments with victims, family members, victim service providers, and allied professionals, the DVDs include topical segments and a montage of victims and advocates speaking out that is designed for use by policymakers. It also includes an interactive role play between a parish nurse and an adult daughter caring for her father that is intended to help professionals recognize abusers' justifications for elder mistreatment.

2 DVDs / 119 minutes

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JUST TO HAVE A PEACEFUL LIFE

This program profiles a woman who was married to an abusive husband for 45 years. She had five children who were also routinely abused by the husband. She left her husband three times when the children were small only to return because of financial need. She kept hoping he would mellow as he got older, but finally left him again at age 61 only to soon return again because of health problems. She died at age 63 without ever achieving the peaceful life she longed for.

DVD / 10 minutes

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SURROUNDED WITH LOVE: GRANDPARENTS RAISING GRANDCHILDREN

More than 3.5 million children in the US are raised by a grandparent. In their own words, three grandmothers explain the reasons for their care giving/parenting decisions, and share their rewarding experiences raising their grandchildren.

Dolores, a 48-year old married woman is raising three grandsons after herdaughter was murdered.

Aderian, a 65-year old grandmother is raising two grandchildren, ages 12 and 6 after mental illness incapacitated both of their parents.

Jewel, a 64-year old grandmother, is 'happily raising' three grandchildren, ages 18, 13, and 4.

Surrounded With Love explores both the positive and negative feelings of the parenting grandparent: the hard work, the challenges and the added responsibilities.

DVD / 22 minutes

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