Dr. Joseph Gaugler

A lot of the readers were really sharing heartbreaking stories of what their situations were like. And, you know, I think one could almost do a study of those comments. And, you know, the insights I think you would gather is, again, this great variability to the sense of shame and guilt and challenge around the decision, which is pervasive. And I don't think we always acknowledge that. Yeah.

A lot of the readers were really sharing heartbreaking stories of what their situations were like. And, you know, I think one could almost do a study of those comments. And, you know, the insights I think you would gather is, again, this great variability to the sense of shame and guilt and challenge around the decision, which is pervasive. And I don't think we always acknowledge that. Yeah.

But then third, again, there's a lot of variability too, and much of it depends on the care setting itself. It depends on the family dynamics. Certainly if family conflict is present, that greatly affects that situation. And getting back to the setting itself, I mean, does the facility do a good job in working with family, engaging with family, helping them through this challenging situation?

But then third, again, there's a lot of variability too, and much of it depends on the care setting itself. It depends on the family dynamics. Certainly if family conflict is present, that greatly affects that situation. And getting back to the setting itself, I mean, does the facility do a good job in working with family, engaging with family, helping them through this challenging situation?

I remember once, Stanton, it was really interesting. This was some time ago, not in Minnesota, but I remember talking to a nursing home administrator and he said something along the lines of, well, you know, if we could just keep the family out those first 30 days, everything would be fine.

I remember once, Stanton, it was really interesting. This was some time ago, not in Minnesota, but I remember talking to a nursing home administrator and he said something along the lines of, well, you know, if we could just keep the family out those first 30 days, everything would be fine.

And to me, it's kind of like, you know, what are you trying to achieve in terms of person-centered care, quality care? I mean, family or other individuals who are close to that person are essential to helping the setting understand who is this individual as a person? What do they like? What do they want?

And to me, it's kind of like, you know, what are you trying to achieve in terms of person-centered care, quality care? I mean, family or other individuals who are close to that person are essential to helping the setting understand who is this individual as a person? What do they like? What do they want?

And, you know, if a setting doesn't approach it that way, I think, you know, there can be real challenges. Please, Claire, I'm sorry.

And, you know, if a setting doesn't approach it that way, I think, you know, there can be real challenges. Please, Claire, I'm sorry.

So Clarence, let me ask you, when you say process and what we should be looking at, process to do what? Stay at home longer? Live better? Both?

So Clarence, let me ask you, when you say process and what we should be looking at, process to do what? Stay at home longer? Live better? Both?

That's right. I personally am a big believer, and I'm biased to this in this regard, given I'm in a school of public health, but, you know, adopting something like a social determinants of health framework to help us live in more age-friendly communities, communities that allow for vibrant social interaction, communities that are set up environmentally in ways that can facilitate aging well.

That's right. I personally am a big believer, and I'm biased to this in this regard, given I'm in a school of public health, but, you know, adopting something like a social determinants of health framework to help us live in more age-friendly communities, communities that allow for vibrant social interaction, communities that are set up environmentally in ways that can facilitate aging well.

Offering opportunities for volunteering, social connection, perhaps even thinking about employment in different ways than we traditionally have in this country to allow older people, if they so choose, to maximize the many talents they have. You know, I was just in Florida this past week to give a presentation at the University of Minnesota Development Office.

Offering opportunities for volunteering, social connection, perhaps even thinking about employment in different ways than we traditionally have in this country to allow older people, if they so choose, to maximize the many talents they have. You know, I was just in Florida this past week to give a presentation at the University of Minnesota Development Office.

The foundation, they had a gathering. Many, many alumni, as you could imagine, are living in Florida.

The foundation, they had a gathering. Many, many alumni, as you could imagine, are living in Florida.

Or snowbirds down there, as you could imagine, right? So I gave a talk, and my whole talk was about... rethinking this notion of the quote unquote tsunami, the aging tsunami. I mean, I don't know if you've read the media much, but oftentimes you'll see many articles talking about where, you know, we're falling off this demographic cliff. It is an aging tsunami. What are we going to do?

Or snowbirds down there, as you could imagine, right? So I gave a talk, and my whole talk was about... rethinking this notion of the quote unquote tsunami, the aging tsunami. I mean, I don't know if you've read the media much, but oftentimes you'll see many articles talking about where, you know, we're falling off this demographic cliff. It is an aging tsunami. What are we going to do?