Posts tagged “aging”

Rethinking Everything About What You Do For Customers

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Rebecca Mead’s New Yorker feature The Sense of an Ending describes some really dramatic (and successful) reframes in care for dementia patients. There’s a number of profound shifts in how the caregivers describe their role and in the kind of experience they seek to deliver for the patient (and their family). The whole article (linked above, but subscribers only) describes those shifts and the cultural and organizational efforts to get there. I’ve included just a portion here

One of the first things Alonzo did, in 1998, was to ask an aide who was born in Vietnam to talk to staff members in her native tongue. “It was the only language I could find that nobody else could speak,” Alonzo recalled. “So we had her tell us very sweetly, in Vietnamese, what she wanted us to do, and we couldn’t understand her.” The staff had to become attuned to the woman’s nonverbal cues.

On another occasion, Alzono underwent a public bed bath, in front of the entire staff, of twenty-seven. She didn’t allow herself to move her limbs, and behaved as if confused. Afterward, she was able to describe the nature of her discomfort, and staff members analyzed their own activity in light of it. “Let me tell you, it sucked – it was incredibly uncomfortable,” she told me. Staff members then spooned food into one another’s mouths and brushed one another’s teeth, in order to be on the receiving end of activities that they performed for their charges every day. “You can find how threatening it is to have something touch your mouth when you have not brought it to your own lips,” she said.

In the most radical experiment, the staff wore adult diapers. “That was kind of life-changing for everybody involved,” Alonzo told me. “We all recognized just how uncomfortable it was to sit in a wet brief. Some of our front-line staff, who really wanted to know how bad that felt, did not change them for a couple of hours.” Previous may residents had been dressed in diapers, as they tend to be in a majority of nursing homes. Not long afterward, aides decided to stop the practice with most residents, instead taking them to the bathroom fifteen or twenty minutes after mealtimes. This made residents happier while making the staff’s jobs easier, because they no longer had to change people who were agitated.

There’s a rich tradition of participating in the experience our customers are having (see this great war story about an adventure in an “old age simulation suit”) and what feels like an increasing mention of empathy. I really like how this story highlights not so much the ergonomic or functional task aspects that are revealed but how this drives to revisiting the fundamental ideas of how the institution conceives of the patient experience it provides. I also like the full-on simplicity of the approach, the people who do this stuff to others now try it themselves and talk about it.

See also Richard Anderson’s blog post from this week about reframes in general and in healthcare specifically.

ChittahChattah Quickies

ChittahChattah Quickies

  • Interaction designer Oliver Bayley's blog about 3 months in a wheelchair while recovering from a snowboarding accident – The soap dispenser and sink were co-located so no problems there. But next I needed to dry my hands. Looking around I discovered that the paper towel dispenser was on the opposite wall from the sink. In order to get to it I had to maneuver my wheelchair, which meant grabbing the grips on the wheels with wet hands. Doing this felt very disjointed and somewhat unsanitary. I was immediately struck by the apparent lack of consideration for wheelchair bound patrons of this restroom within a hospital.
  • A designer from frogdesign has her first mammogram and reflects on the experience – Two images came to me as I stood half naked responding to the technician’s requests to hold perfectly still — the first was the entwined bodies of two dancers from an article on choreographer Alonzo King that is currently featured in the design mind Motion issue, so compelling in their unity, singularity and flexibility; and the second was my daughter smiling and dancing with a sculpture at Maymont Park in Virginia — the cold stone made warm from its wave form and her delight in its human character.
  • Designer Debbie Millman goes to the beauty salon and reflects on life and aging – As I navigate through these fears, I realize that after all the years of wanting, after all the years of feeling bad about who I was and where I was and what I had, I have recently come to the realization that I don’t want life to end. Ever. And though I grimace when I look at myself naked and I have given up trying to read the small type on a menu, I want to do want to continue to get older. So what, I am nearly 50. Big deal. Whether I am fat or thin, rich or poor or with more hair on my face than I have on my head, with each observation, with each day piled high on top of another, I am reminded that I still get to be right here as it all continues to unfold in front of me.

The Face(s) of Rock and Roll

The SF Chron asks readers Do the Rolling Stones still have it? Aside from the content, here are some of the people whose responses they used:
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We saw the show last night and this is of course a valid representation of the demographic. It’s just still an emotional collision to be at a stadium concert and see people who resemble your parents in the seats behind you. The Stones are aging, and too much has been written about that, but we’re all aging as well. I’ve noticed a gentle version of this at Tragically Hip concerts, where the band and their fans have grown into early middle-age together, but it’s a more soothing transition. Here, with the Stones and their fans, we’re forced to confront the absolute opposites of the image of rock and roll and the reality of rock and roll.

At the same time, we’ve got this whole School of Rock thing going on, where kids who weren’t born when we were rocking out in high school are now recording or performing some of the same music. Is there any rebellion for a 15-year old in 2006 to be windmilling a la Townshend as his parents beam in approval? Were kids singing Pat Boone along with their parents 40 years ago, or is there a new form of co-option going on? This MeFi thread about kids covering Rush songs doesn’t quite get there (although some of the example YouTube links are fun) and I certainly can speculate but I don’t know the answer.

I think it was Dennis Miller, in his younger rebellious (and long-haired) days who joked that Pete Townshend was going to have to change the lyrics in the upcoming (the first of many, it turned out) reunion tour to “Hope I die before I get oldest.”

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