Church Congregations and Aging Adults

Part 1 of 4:  The Invisible Aging Person

The church needs renewed consideration of the Eldest members. People too often become invisible once they are no longer able to get out, when they are too fragile to “contribute” to the growth or life of the church. I have witnessed a sad trend played out in congregations I have participated in and the work I have done with Elders both in the community and in Assisted Living Facilities.  Once a person becomes absent – through relocation to an institution, becoming home bound due to infirmity or because the church is not set up to accommodate special needs –  they become invisible.  Deacons may send a card on special days.  A church visitor may pop in for an hour once a month, but the Older member becomes exiled, wandering alone in the spiritual desert of their last years.

I belong to a small, aging congregation in a rural community. There has been discussion of late that if we don’t bring in younger families, the church may not have sufficient members to keep the doors open.  That’s a reality shared by many small churches, and the focus of revitalization strategies taught by leaders like Thom Rainer and Ken Priddy. It makes sense: We must find ways to invite people to come in – and stay – to keep the church alive.  The Great Commission calls us to make disciples and certainly we can’t do that if the doors are closed.

Historically, churches grew from the younger demographic upwards, not unlike societal institutions. Historically speaking (pre Baby Boomer cohort) the majority of our population were in their middle years, with a large base of youth and children at the base of the population pyramid, and retirees and Elders comprising the narrowing tip. Nursery care, preschool programs and Vacation Bible School drew families by attracting  children and their parents. That was an effective paradigm for growth as the Boomer Generation was created, well into the 90’s as they then had their own children. (This format worked for me. I was “unchurched” until a program drew my children in and then I followed. Nothing softens the heart of a parent more thoroughly than seeing their children glowing with joy and a sense of purpose; the innocence of “letting their light shine”).

The times, though, they are a’changing. The Boomers will be launching the last of their babies shortly.  The Generations X and Y and the Millennials will not likely reproduce in the numbers that the Boomers and their parents did. Church nurseries, I predict, will not host the numbers that were common 30 years ago.

I will close this installment with a story I was privy to. I began reflecting on this situation as our church discusses revitalization efforts and how we become more welcoming. It occurred to me to think through “to whom do we need to be welcoming?”  We need to not overlook our aged church members, who once disconnected from their Spiritual fellowship, can suffer in isolation.

Mae was a resident at an assisted living where I was employed as a nurse. She was in her early 80’s, and suffered short term memory loss.  Mae had been moved to the assisted living apartment because she could no longer safely care for herself at home, and her family thought the socialization of the community living facility would benefit her. Mae had a church visitor – once a month a young gentleman would “round” on about a half dozen residents who had once been church members. As far as I could see, that was her only church contact.  In chatting with her eldest child one day, I heard an intense anger towards the church and it’s members, as he felt that for the 40 years Mae had participated in all aspects of the life of her church, no one “saw” her anymore.  She had become invisible to the church family, save the dedicated volunteer who provided ministry in the local facilities for “former” church members. Mae was starving for conversation, for regular prayer, Bible Study, a friend, and the ritual of church services.  In the assisted living, she was spiritually starving. Her children also felt abandoned by the church family they had grown up with, and thought would continue to be a resource for them and their mother as her needs changed.

Our seniors become “the forgotten” and often decline visits because “they don’t want to be a bother”.  I’ll let you in on a secret.  They DO want to be a bother.  They want to be seen, noticed, cared about, included, even in their changing states.  They thirst for authentic connection, visits, prayer, hymns, gossip.

Questions to consider:

How many of your aged church members seem to have become invisible once they no longer attended services regularly? 

Is anyone designated in your church to notice an absence and follow up with a call to the parishioner or their family? 

Who in your church family is tasked with making sure members, unable to get out often, are visited frequently enough to nurture still growing relationships, rituals and spiritual succor?

* * * * * * *

I challenge church leaders to take an inventory of the people that have faded from view in the last year.

Where have they gone?

Who has reached out to them?

What training is offered for your volunteer visitors, if you have such a body, so that they are equipped to have meaningful visits to those who are home bound?

Does your church regularly engage with the families of their aging membership?

The Changing Image of Aging

GrannyContemplating issues facing the aging population on our planet (and therefore, facing us all) I became aware of the lack of positive role models for active aging and co-generational caring in families. In the US, where people over 60 are more than 30% of the population, only 2% of movie and television roles portray older adults, and then often in cameo/comedic roles.. What does this lack of role modeling mean for us? That we don’t have a strong cultural idea – coming out of the “nuclear family” post WWII era – regarding the needs of our Elders for meaningful relationships with younger adults and conversely, the need for all of us to “mind our elders.” Culturally, we lack a map for what healthy, positive co-generational sharing should look like, and how to live it out.

I cut my cultural teeth on the sitcoms of the 60’s, 70’s and 80’s. I remember when American television broke the color barrier and when women quit vacuuming in high heels and pearls (Thanks be to God!). Seniors, however, continue to remain quite invisible.  Where is the show about life in the Assisted Living or retirement living that includes bicycling miles for an ice cream treat? British and Canadian television have done better integrating multiple generations in their storylines –  from “Doctor Who” to 81 year old Dame Judi Dench (who continues to model of an active and vibrant “granddame”), as Jean Pargetter-Hardcastle in the multi-generational family sitcom “As Time Goes By”. “Downton Abbey” gave us a 4-generation family (albeit cared for by paid staff), and the excellent aging (and maturing) of family members across a decade. Some other favorites portraying the retirement cohort would be “The Last of the Summer Wine” and “The Vicar of Dibley” which include positive, humorous and touching portrayals of people from different generations supporting and encouraging each other (sometimes into trouble). They are people we can relate to and imagine being in relationship with. (They also die – and their friends mourn).

Twenty years ago, the battle cry for assisting the most vulnerable in our communities was “It takes a village to raise a child.”  Then, as now, we hear little about how the needs of elders in our society will be addressed beyond the hot button topic of Medicare and Social Security “reform.” There are problems there that will need to be addressed creatively as the Boomers hit those roles. More pressing, and in the grasp of each of us right now is: How do we support the Elder community from the ground up?  When is the spotlight going to fall on Elders – not as dottering, cameo appearance comediennes or crazy/scary and unpredictable  – but addressing the need for accessible spiritual care and nurture, medical care, socialization, generational sharing and protection from those who would abuse or exploit?

The Art of Parentcare LLC will be offering training in 2016 for individuals, churches and other community groups to develop additional skills in assessing and creatively supporting the spiritual, physical and emotional care of aging adults and their families, and to aid in anticipating and meeting the changes that will come as the wave of Boomers hits the shore of their seventh decade and beyond. Private and group consulting services are also available.

Holiday Specials on Coaching & Classes through 1/3/25!

Thank you for your interest in coaching, consulting or nurse care coordination services with Art of Parentcare, LLC. All service packages include on-going support via text during the service period in addition to telephonic, virtual or in person meetings. Written summaries with action steps are sent after each session.

Packages can be scheduled via https://calendly.com/artofparentcare. A 25% deposit is requested at time of scheduling and can be made through Venmo@katherine-silver-8. Payment plans are available with pre-arrangement.

Coaching/Consulting Services:
HOLIDAY SPECIAL: This consultation is FREE through January 3, 2025.
Navigating Elder Care: Family Solutions: We will schedule 30 minutes to discuss planning for changing future needs or address more pressing needs/strengths; how to prioritize the urgent, client rights, and roles and responsibilities. Value: $75

HOLIDAY SPECIAL: for clients who sign up by January 3, 2025, this $150 dollar package is available for $99.
Focused Coaching/ Individual Session: Does everything feel mostly under control, but there is this one thing you just can’t navigate or that wakes you up at night? This option is for you! We will explore solutions to this unique situation. Includes 1-hour initial consultation and a scheduled 30-minute follow-up call within 2 weeks. Written summary of conversation and action steps will follow each visit. Value: $150.00

HOLIDAY SPECIAL: for the first 10 clients who sign up by January 3, 2025, this $450 dollar package is available for $349.
Sustained Support Coaching: 4 hour-long meetings conducted weekly or bi-weekly as you prefer. We begin with prioritizing concerns and goals. Together we will create strategic plans to support transitions in care or change in condition, address immediate client needs, assist in identifying personal and social service resources, and provide debrief support following any urgent situation or change in client condition. This package may be renewed indefinitely. Value: $450.00

Upcoming Classes:
HOLIDAY SPECIAL: 10% discount for the first 10 clients who enroll in any class offering by January 3, 2025.
Plan Ahead: Journey into Aging: an 8-week course covering the language of aging (how to speak knowledgeably to providers), expected benchmarks that indicate slow change of condition, how to create back up plans so the unexpected change does not lead to crisis response, exploring care options before you need them. The goal of this course is to arm participants with knowledge to understand and identify resources and choices before (if) they are needed. $250 for the 8-week series. Next online class begins January 9th, 2025, 7-8 pm PST.
Navigating the End-of-Life Journey: an 8-week course covering the language of aging (how to speak knowledgeably to providers), expected changes in functional capacity and Palliative Performance Scale to help you identify where you are on the journey; what hospice is and isn’t, when to engage with hospice care and what questions to ask, exploring care options before you need them. The goals of this course are to teach participants about milestones typical to the end-of-life experience, anticipate needs for changing levels of care, identify resources and choices in advance, tackle business and legal issues pre-emptively. $275 for the 8-week series, guidebook “The Final Quest” included in cost of the class. The upcoming online class begins January 7th, 2025, 7-8 pm PST.
Eldercare Advocacy Training: a 4-hour class for family or community members interested in learning about Eldercare concerns, understanding local resources and helping Elders navigate care choices. $125, online with in person option available. Next class date TBA.

RN Care Coordination Service Package:
Care coordination services are currently limited to Oregon residents due to RN licensure requirements.
Care coordination across the health care continuum is crucial to the success of an individual’s health care goals and outcomes. Art of Parentcare, LLC., contracted care coordination services are provided by RNs skilled in medical, physical and home safety assessment, care planning and coordination of care between clients, providers, community resources and payors. Care coordinators strive to improve adherence to the treatment plan, identify barriers to care and resource needs, safety concerns, recognize changes in condition earlier, reduce hospital re-admissions and improve client satisfaction. These outcomes are achieved through regular monitoring visits and telephonic check-in with the client, client and family health education and medication review, and advocating for client needs with their provider and when applicable, payor source.
Care Coordination services are privately contracted and paid but may be reimbursed by your healthcare coverage. It is the client’s responsibility to determine any payor reimbursement. Care Coordination visits are conducted in person when feasible, through virtual meeting platforms when travel is prohibitive due to distance or travel conditions.
The basis of a care coordination service plan is the comprehensive assessment. In this meeting, we will review recent and on-going medical history, medication review, cognitive and functional assessments. In collaboration with the client and their family, this information will guide the development of care plan goals and interventions (what action steps are needed, and who will perform them). Some actions will be performed by the RN, others will be assigned to the client or their representative.
The BASIC package includes a comprehensive in-person or virtual assessment and one follow up meeting to review the documentation, medication review, suggested care plan goals and action steps within a week of the initial appointment. Value: $495.00.
The PREMIUM package includes assessment, documentation, collaborative care plan and 6 scheduled in-house or telephonic follow up visits within 3 months. *Note: RN care coordinators can only discuss the client’s protected health information with those for whom there is a Release of Information on file, signed by either the client or guardian. Value: $1395.00