Eldementals

Eldementals Eldementals RN care management and aging life care management - website for those with complex disease processes, care situations, and their loved ones!

www.Eldementals.com Karen M. McPhail, MSN, RN has over 25 years of experience in the healthcare industry. She has been working since 2001 as a private Healthcare Consultant and Geriatric Care Manager in the DC Metro area. She specializes in boutique style case management for private clients. As a professional geriatric care manager, she has been educated in the various fields of human services, including case management, psychology, nursing, and gerontology. She is trained to assess, plan, coordinate, monitor, and provide services for the elderly and their families, with advocacy for older adults being her primary focus. She has served as a Senior Transplant Coordinator and Program Administrator for the Department of Transplantation and Ancillary Services at Georgetown University Hospital; as an Assistant Director of Nursing, a Director of Nursing / Wellness Director, and a VP Special Project Consultant for Manor Care Health Services; and as a Transplant Program Coordinator for the Liver Transplant Program at the University of Maryland. Karen attended Duquesne University, Pittsburgh, Pa (BSN, 1991), George Mason University , Fairfax, VA (MSN, 1996), and Georgetown University, Washington, D.C. (1999, NP Program). She is a member of the National Association of Case Management, the Aging Life Care Association™ (ALCA), the past President of the George Mason Nursing Alumni Association, a past board member of the National Kidney Foundation, a past Director and Founder of the Transplant Institute Foundation, a member of Sigma Theta Tau Nursing Honors Society, a member of Zeta Tau Alpha, and has completed certification with the Alzheimers association and as a Clinical Transplant Coordinator. She has served as adjunct faculty for both Georgetown University and George Mason University Nursing Programs. She has been recognized on several occasions for her community service efforts on behalf of her area, has published work in the Journal of Nursing Administration, does private healthcare consulting for a variety of organizations, and is now developing this Geriatric focused blog titled "Eldementals™," which is a blog to support seniors and their caregivers.

10/12/2025

Diane Keaton lived exactly as she spoke—unapologetically herself. Remembering an icon who never slowed down, and never stopped inspiring 💔

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10/10/2025

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10/09/2025

Today is Ageism Awareness Day, a time to reflect on how ageism shapes our communities and what we can do to change it.

In 2022, 14.5 million U.S. adults age 60+ were racial and ethnic minorities, a number expected to rise to 26.6 million by 2040. Our nation is growing older and more diverse than ever; so let’s make sure it’s also growing more inclusive.

Everyone is aging, and that’s something to celebrate. Join the movement: asaging.org/ageism-awareness-day

Many older adults are at risk for developing mental health conditions such as depression and anxiety disorders. Even wit...
10/09/2025

Many older adults are at risk for developing mental health conditions such as depression and anxiety disorders. Even with normal aspects of aging these conditions can become even more challenging to manage.

Many may also experience reduced mobility, chronic pain, frailty, dementia or other health problems, for which they require some form of long-term care support.

As people age, they are more likely to experience several conditions at the same time. This is why advanced care planning is so important with an aging life care professional.

By having a healthcare professional and aging expert look at holistic health and wellness as it impacts navigating the many complexities of today’s healthcare system is essential for successful outcomes and reduced healthcare expenditures.

Fact sheet on mental health and older adults providing key facts and information on risk factors, dementia , depression, treatment and care strategies, WHO response.

Sukkot is a week-long Jewish holiday that serves as both a harvest festival and a commemoration of the Israelites' forty...
10/09/2025

Sukkot is a week-long Jewish holiday that serves as both a harvest festival and a commemoration of the Israelites' forty-year journey through the desert after their Exodus from Egypt.

10/09/2025

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10/09/2025

Many people living with dementia still go shopping, either alone or with friends, family members, or caregivers. They still want to choose their own greeting cards, find their favorite shampoo, or pick out a birthday gift for someone they love. But a typical store can be confusing, overwhelming, or just plain exhausting for a person with cognitive decline.

Being dementia-friendly doesn’t mean creating a separate section or offering special treatment. It means shaping a space—and a way of interacting—that’s easier to navigate, calmer, and more supportive for people who might be processing things differently.

Here are some practical ways stores can help:

Use clear, easy-to-read signs with large fonts and strong contrast. Avoid decorative or quirky restroom labels—just say “Restroom” and use familiar symbols.
Keep store layouts consistent. If someone has finally figured out where the peanut butter is, don’t move it to the other side of the store next week.

Turn the music down. Better yet, offer quiet hours with low noise. Loud environments can make people anxious or disoriented.
Avoid flickering or harsh lighting. Bright, even light is easier on the brain and helps reduce confusion.

Keep aisles wide and free of clutter. A clear path helps everyone—especially someone who might already feel unsure on their feet.
Checkout can be one of the hardest parts of the shopping trip. It requires focus, memory, number recognition, and potentially interacting with unfamiliar equipment—all while other customers wait. It’s a lot.

What helps:

Slow down. Give people space and time to process without pressure.

Use friendly, clear phrases like: “You can put your card here or tap it right on the screen.”

If someone seems unsure, gently offer: “Would you like me to tap or swipe your card for you?”

Steer people away from self-checkout if they seem overwhelmed.
Those stations are often too fast-paced, too noisy, and too complicated.

Make sure people leave with their receipt and all of their items.

Assure that they do not leave their credit card behind.

It’s also important to remember that behavior can be misunderstood.

Someone might:

Find their favorite snack and start eating it before they reach the checkout—not out of disrespect, but because they’re focused on the moment and not on the process.

Finally locate the cologne they’ve worn for 30 years and head for the exit, forgetting to pay.

Seem rude or abrupt—not because they’re unkind, but because the shopping trip has taken every bit of their mental energy.

Knock over a display or drop an item—not because they’re careless, but because they’re moving through a space that feels unfamiliar and overstimulating.

If something unexpected happens, assume good intentions. A calm, kind response can make all the difference. An employee who smiles and says, “Let’s take care of that together,” can turn a difficult moment into one of connection.

And restrooms matter. If a shopper isn’t sure they’ll be able to find or use a restroom, they may not come at all.

What helps:

Offer at least one private, all-gender or family-style restroom. This restroom should have room for a caregiver in addition to the person living with dementia. Ideally, include a chair for the caregiver so they do not have to stand while their person is on the toilet.

Use clear signage—words and symbols, no cute nicknames or “clever” graphics. “Princes” and “princesses” may seem like an adorable way to label your restrooms but can add a layer of confusion for those who live with cognitive decline.

Avoid requiring a key if you can. Needing to track someone down just to use the restroom adds a layer of stress.

A quick training with your team can help everyone feel more confident and prepared. A few essentials:

Not everyone who needs extra patience looks like they need extra patience.

If someone seems confused or overwhelmed, pause and respond with calm kindness.

Speak clearly and slowly. Offer support without drawing attention.
Approach individuals from the front to avoid startling them.

Most people living with dementia won’t mention that they have dementia to a retail employee. But they’ll notice if your store feels welcoming. They’ll remember if they felt rushed or if they felt seen.

Kindness is free. A little patience and a gentle tone go a long way. What helps one person—whether they’re living with dementia, overwhelmed, tired, or simply having a hard day—helps everyone.

[If you are in Iowa and have an interest in becoming a Dementia Friendly retail store, don’t hesitate to reach out (dementia.simulation@uni.edu). It’s a one hour training and you must have at least 50% of your employees present.]

10/05/2025
10/05/2025

How to avoid scams and make sure you’re really due a payment

10/05/2025

The Journey to Healthy Living
🗓️ Thursday, October 23, 2025 | 10 AM
📍 Westminster Presbyterian Church

Join us for a dynamic wellness experience designed to nourish both body and mind. This uplifting session includes stress relief techniques, a healthy cooking demo, chair yoga and meditation, and practical nutrition education. Discover simple steps toward lasting well-being in a welcoming community setting.

📞 Register by calling 703.836.4414
💙 Support programs like this by donating atseniorservicesalex.org/donate/

Care managers impact care quality and decrease healthcare costs!  Care managers coordinate healthcare services, act as p...
10/05/2025

Care managers impact care quality and decrease healthcare costs!
Care managers coordinate healthcare services, act as patient advocates, and provide ongoing support to help individuals and families navigate their healthcare journey.

We routinely assess care and service needs, create personalized care plans, connect patients with community resources and entitlement programs, managing medications, consults, and appointments, facilitate transparent communication between providers, and provide education and guidance to improve quality of life and health outcomes.

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Great Falls, VA

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