Tourism Council Starts Intergenerational Trips

Published in the Pawtucket Times on April 8, 2002

A growing number of affluent and travel-savvy seniors are fueling the demand for grandparent-grandchildren travel. It’s becoming big business for the travel sector.

According to a recent issue of “Time” magazine, a survey performed by Zogby International for American Demographics found that last year about 20 percent of U.S. grandparents traveled with their grandchildren. Experts believe that this travel trend will continue especially with more than 77  million aging baby boomers who are taking on the role of grandparent. The popularity of seniors taking their young grandchildren on trips is also documented by the National Tourism Association (NTA). According to NTA, children’s tours ranked number 9 out of 50 for top national and international travel tours.

Bonding and getting close to their grandchildren are just a few of the benefits of this trend in fueling the demand for intergenerational travel.  Deepening of the bonds  between generations can occur without the frustrations of planning the details of a trip.

Recognizing this increasing popular travel trend, The Blackstone Valley Tourism Council (BVTC) is finalizing the travel itinerary for four affordable, intergenerational trips. The new series, “Bring Your Grandparents to the Blackstone Valley,” will feature the valley’s historic sites, museums and the Blackstone River.  Additionally, these day trips will also feature fun destinations such as the zoos, waterslides, nature areas and orchards in the valley.

The first day trip, scheduled for April 17, is planned to coincide with school vacations, notes Mary Harrington, BVTC’s Group Tour Manager. With a lot of parents working during school vacations, grandparents can easily step in to take  care of the youngsters, she says.

On this day trip, grandparents and grandchildren from kindergarten age up to 12 years of age, can explore the history and culture of the Blackstone Valley Corridor by watching an award film, “Hidden in the Blackston Valley,” in a theater in the City’s Visitor Center.  The 20-minute film tells the story of the rise and decline of the  textile industry and the role it played in setting the American Industrial Revolution in motion.

Meanwhile, trip organizers are hopeful that both generations learn more about ecology along the 46-mile Blackstone River by scheduling an hour-long riverboat ride on the Explorer. During the ride, an ecologist will perform water quality tests. Youngsters will also find out more about the plant and fish and animal species that live in and along the riverbanks and even learn how to help clean up the river.

Also, included in this affordable travel package is a child-friendly lunch were hot dogs, hamburgers, grilled  cheese sandwiches and French fries will be served at Pawtucket’s Modern Diner. The custom-built Sterling Steamliner is recognized as the first diner to be placed on the National Register of Historic Places.

Finally, a child-oriented tour of Slater mill, the birthplace of the American Industrial Revolution, is planned. Both young and old can see a replica of an early 19th century waterwheel turning real machinery and see flax spun into linen. They will even learn more about child labor laws and how the 19th century industrial revolution changed virtually every aspect of daily life. After the tour both grandparent and grandchildren, supervised by a Slater Mill educator, can work together on a traditional fiber arts craft project.

“We came up with this trip package that takes care of all the details,” Harrington said. “It is not always for grandparents to figure out what to do.”

With many seniors living on a fixed income, the costs of each day trips will be kept affordable and interesting, Harrington says. She says that the price tag for a day trip is only $22, covering the registration of both the grandparent and their youngest charge. However, for the first day trip, the ecology program on the Explorer will cost an additional $6 per person.

For details, call Mary Harrington at the Blackstone Valley Tourism Council at 401-724-2200.  Deadline for registration is Monday, April 15.

Fed’s Proposal to Confronting Nursing Shortage is Not Enough

Published in Pawtucket Times on April 1, 2002

Responding to the nation’s serious nurse staffing shortage, a new Federal proposal gives states flexibility to allow nursing facilities to use paid feeding assistants to supplement the services of certified nurse aides (CNAs). The specialty trained staff would help residents eat and drink.

With a growing number of frail elderly resident in the nation’s nursing facilities, today’s nursing staff must take care of residents who require a higher level of medical care. This leaves less time to ensure that residents eat their meals and drink enough fluids on a daily basis.

Oftentimes, both physical and psychological changes will interfere with a resident’s ability to eat and consumer a meal. Some residents may only need encouragement or minimal assistance with eating.

On the other hand, frail residents may require staff assistance with feeding .  Assistance would be needed for residents with cognitive impairment, impaired swallowing due to muscular weakness or paralysis, a tendency to aspirate or choke, poor teeth, ill-fitting dentures or partial plates, poor muscular or neurological control of their arms or hands, as with Parkinson’s disease.

Under the Centers for Medicare & Medicaid Services (CMS) proposal, trained feeding assistants are allowed to help residents eat and drink, especially at meal times.

The workers would be required to complete a state-approved course to quality to be hired for the new position.  Currently nursing facilities rely primarily on CNAs, registered or licensed practical nurses to assist residents with eating and drinking.  However, volunteers and family members also may assist with these tasks.

At this time, there is no provision in federal regulations for the employment of nursing facility workers to perform only a single task without competing 75 hours of nurse aide training.

The proposed rule change published in the March 29 issue of the Federal Register would allow facilities to hire workers to perform a single task with training on feeding techniques and some basic information that is currently part of CNA training requirements.

“Meal times can often be the busiest time in nursing facilities,” says CMS Administrator Tom Scully.

“Feeding residents is often a slow process and competes with m ore complex tasks, such as bathing, toileting and dressing changes, as well as urgent medical care,” he added.

“Trained feeding assistants will free nurses and nurse aides to focus on residents’ other health care needs. The result will be that residents will receive better nutrition and care,” Scully noted.

The American Health Care Association (AHCA), a Washington, D.C.-based trade group, that represents both profit and non-profit nursing facilities, gives the new federal rules a thumbs up.

‘Simple common-sense dictates that when our nation’s health care system is being undermined by a chronic nursing staffing shortage, and the greater needs of increasing sicker patients, we should do everything conceivable to better the lives of our patients,” stated Dr. Charles H. Roadman II, president and CEO of AHCA. “The rule will also help the overextended nurses and nursing aides already on the job cope with competing important tasks.”

Hugh Hall, executive director of the Johnston-based Cherry Hall Manor Nursing and Rehabilitation Center, supports the federal government’s approval of the single task workers who feeds nursing facility residents.

“The prior regulation was not logical or practical when prohibiting other nursing home workers other than registered nurses, licensed practical nurses and CNAs from feeding, but allowing volunteers and families to participate in the feeding process with little training,” he said.

Hall, the former president of the Rhode Island chapter of AHCA, said the health care community would prefer that the federal government develop long-term care programs to recruit fully trained certified nursing assistants and to financially support those initiatives.

Roberta Hawkins, who serves as the state’s nursing facility ombudsman and executive director of the Alliance for Better Long-Term Care agrees.

“The federal proposal is only a Band-Aid fix.” Hawkins says, calling on the federal government to put more funds into the nursing facility reimbursement system to enable facilities to pay better wages to hire permanent full-time staff and to create career ladders.

“Even though you may teach an aide to just feed residents, they are not trained to spot medical changes in the resident, Hawkins told Everything About Seniors.  More important, she said, “they will not be familiar with the specific needs of the residents.”

Hawkins believes that the Bush administration’s proposal can become an obstacle in providing continuity of care in nursing facilities.

A state commission, chaired by Human Services Director Jane Haywood, is currently looking at Rhode Island’s staffing shortage and how the existing Medicaid reimbursement system can be improved.

Recommendations for a new and improved system coming from Haywood’s group might just fix a long-time systemic problem, enabling nursing facilities to better recruit and retain CNAs.

Hopefully, Haywood’s long-awaited proposals will be seriously considered by the administration and General Assembly and won’t end up on a dusty shelf or a circular file.

While allowing the use of single-tax workers, proposed by the Bush administration, it is a step in the right direction. Gov. Lincoln Almond, state lawmakers and state policymakers must not lose sight of the real issue – inadequate Medicaid payments- which fuels an ongoing CNA shortage in many of the state’s nursing facilities.

Almond and the General Assembly are currently at odds over subsidized gambling in the Ocean State.

During this year’s budget debates, overshadowed by a projected $70 million plus budget deficit, let us not forget about Rhode Island’s 10,000 nursing facility residents or the growing elderly population who may ultimately require that level of care or community-based long-term care services.

If the General Assembly can easily find $ 15 million next year to keep the greyhound racing industry afloat, lawmakers might dedicate some time and a little energy and effort in finding state dollars to increase funding to Rhode Island’s long-term care delivery system.

For older constituents and the state’s aging baby boomers it is the right thing to do.

Supreme Court Jumps into Age Discrimination Debate

Published in Pawtucket Times on March 25, 2002

In 1983, my 70-year-old father expressed his concerns about job hunting in his senior years.

Like many at his age, he was not considering retirement but was seeking a new professional challenge. He began to put out feelers for new employment while still being employed by a Dallas, Texas-based retail chain after m ore than 40 years of service.

They won’t hire me if they find out my age,” my father staid, adding that he believed that job experience gleaned from years of employment is not valued by many in corporate America.

Sadly, my father’s fears of age discrimination expressed to me years ago is still documented today by the federal government.

Last year, more than 20 percent of the 80,840 discrimination complaints filed with the Equal Employment Opportunity Commission against private-sector employers were related to age discrimination.

Last week, the Supreme Court jumped into the age discrimination debate and will determine whether seniors have the same legal rights as other types of discrimination claim suits do.

Layoffs at the Florida Power Corporation during a series of reorganizations led to the termination of Wanda Adams and 116 older workers.

More than 70 precent of these persons were at least 40 years old or older. A lawsuit, Adams vs. Florida Power Corp. was filed, claiming the Florida-based corporation discriminated against older workers based on their age in violation of the Federal Age Discrimination in Employment Act.

Under the 1967 federal statute, older workers must not be treated differently than younger workers because of their age.

The 11th U.S. Circuit Court of Appeals in Atlanta affirmed the trial court’s decision that older workers could challenge their termination by proving that their employer’s action had a discriminatory motive or intent (disparate treatment) rather than a disproportionate impact (disparate impact) on older workers.  AARP believes that this court ruling would make age bias suits tougher to prove, giving employers a greater ability to trim their payrolls of older workers.

Now the U.S. Supreme Court is posed to consider a hot judicial issue, especially one that will impact millions of employed aging baby boomers.

AARP, a Washington, DC-based aging advocacy group that represents more than 35 million members, has filed a “friend of the court brief” showing that its support of disproportionate impact, for use in proving age discrimination suits.

The nonprofit group says that the U.S. Supreme Court has already ruled that these types of suits are allowed under the 1964 Civil Rights Act, to prove discrimination based on an employee’s gender, religion or race.

AARP official Laurie McCann states that if the U.S. Supreme Court supports AARP’s legal position, then older workers can win suits by not having to show employer’s intent to discriminate.

“Older employees will always find it hard to prove intent, because it’s difficult to get inside the employer’s head to get evidence as to what they are thinking.”

McCann says oral arguments were heard on March 20, and the justices ruling should be expected to the end of June.

“We will explore  the possibility of a legislative fix,” she adds, “to allow older workers to prove age bias if they’ll company’s practices and policies has a disproportionate impact on older workers.”

Adds AARP State Director Kathleen Connell, “Once unemployed older workers face sharply limited employment opportunities, re-employment after job loss declines dramatically at older ages.

“Older workers have a fundamental right to work in an environment free of age discrimination,” she says. “Age discrimination can be blatant or subtle and can include such practices as refusing to hire or promote older workers, encouraging their retirement, targeting them in reductions in force, curtailing their employee benefits on liming their training opportunities job responsibilities and duties.”

If the U.S. Supreme Court rules to make age bias suits tougher to prove, then aging baby boomers will continue to face the same concerns of my father’s generation – that age discrimination runs rampant throughout corporate America.

When reviewing the merits of the Adams case, it is hope that the justices will see the wisdom of giving older workers the same legal clout as women, minorities, gays and religious persons. Courts have allowed these groups to legally challenge racial, sexual or religious discrimination on the grounds that an employer’s actions had a disproportionate impact on them.

It’s time to protect older workers, too. It’s only fair.