Tag Archives: Senior health

How This Hospice Provider is Building, Retaining Team Members Amid a Critical Labor Shortage

Hospice care team members who feel well-taken care of are better equipped to take care of patients. (Courtesy, Emmanuel Hospice)

By Emmanuel Hospice

It’s no secret the health care industry is experiencing a critical staffing shortage – and hospice is not immune from the trend.

According to a 2022-23 Hospice Salary & Benefits Report, turnover rates for registered hospice nurses reached 25.15% last year. Nurses also accounted for 16.97% of vacancies. Hospice aides and certified nurse aides, or CNAs, also represented a large percentage of job vacancies and saw high turnover rates, 19.05% and 29.84%, respectively. Providers have also reported shortages among social workers and nonclinical staff.

Overcoming this challenge requires a multi-faceted approach to recruit and retain team members. Candidates are seeking a better work culture that is supportive and collaborative, better compensation and benefits and a better organizational focus on patient care – not the bottom line.

Since its inception, Emmanuel Hospice has been working to differentiate itself in these areas. In addition to providing competitive pay, great mileage reimbursement, paid self-care days and holidays, among other benefits, the nonprofit leans on a thoughtful culture.

“We’re unique,” says Katie Joseph, Emmanuel’s Human Relations generalist. “Number one, we’re independent, so we’re not tied into a larger system where you can get bogged down in red tape.

“We’re very nimble, which makes us able to try new things easily. All of us are under one roof, so if someone has an idea, we’re apt to try it, especially if it shows promise of helping those we serve.”

Another way Emmanuel sets itself apart is by offering a wide array of complementary therapies – everything from essential oils to its Art Legacy program.

“Because of that spirit, we find ourselves with more tools in our tool kit,” Joseph says. “And that translates to more creativity and more opportunities to reach out to our patients and their families.”

Joseph emphasizes a third hallmark: The way Emmanuel’s leadership team cares for its staff members.

“We really do care for our employees,” she says. “We can’t take care of our patients if we aren’t also taking care of ourselves. When someone on our team says ‘What can I do for you today?’ they’re really asking that in a genuine way. Because we know if you’re feeling well-taken care of, you’re better equipped to do that for others.”

According to Joseph, the Emmanuel Hospice culture – its beliefs and values – is imbedded into every aspect of the organization, and to a newcomer, it’s evident from the first interview.

“We are intentionally thoughtful,” she says, “and from feedback we receive, we’re known for our transparency and supportive nature. We want our people to succeed, and in expressing that, nobody is ever treated like a number, like just another worker. In short, we care.”

Something called “vital behaviors” are also baked into everyday life at Emmanuel. Those are statements and affirmations that help all employees understand expectations, codes of conduct and the importance of consistent messaging.

“We start by assuming good intentions of one another,” says Joseph. “We believe in doing what we do and doing it well. And we’re life-long learners.

“Not only do we incorporate these behaviors into everything we do, but we are constantly reminding our staff of them through emails and other updates that stress respect and open communication. We want the best out of ourselves and one another.”

Emmanuel is also very thorough about its onboarding process for new employees, which involves careful transitioning and plenty of room for questions and feedback.

“We want someone to know ahead of time what a situation might require. It’s not unusual for a nurse to spend a half day with a massage or music therapist. That helps each team member realize what another does, and how it all fits together.

“How we all fit together.”

To learn more, visit EmmanuelHospice.org.

9 ways senior exercise improves overall senior health

Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Many seniors who reach retirement age start to slow down and decrease the time they spend exercising—or just stop exercising altogether after feeling fatigued from activities that at one point had been easy. However, doing so may have some serious consequences.


Choosing not to exercise as a senior can have a negative impact on your health. As you age, exercise becomes more than creating a healthy habit. Even simple exercises can give you significant benefits to your overall health—sometimes even more so than when you were younger. 

1. Exercise stops muscle loss

Muscle loss starts to affect all adults around age 30, with an estimated 5% loss of muscle in each subsequent decade. This process can speed up quickly around 65 years of age, which is why seniors can rapidly lose muscle mass and become enfeebled in a matter of a few years. 


There’s no way to completely halt muscle loss, but exercises ranging from more intense weight-resistance training to simple daily exercise like walking and functional movements that use a wide range of muscle groups can slow the progress of muscle loss.

2. Exercise improves mental health

Exercise is a huge stress reducer and releases hormones like endorphins that improve overall mental health and make you happy. A regular release of endorphins through exercise can significantly lower your risk of becoming depressed as you age. In addition, seniors who exercise have better moods and more self-confidence than seniors who don’t exercise. 

3. Exercise builds stronger bones

Falling and hurting yourself or breaking bones are some of the most devastating injuries that seniors can suffer from. Breaking a bone and losing bone strength creates long-lasting negative impacts on other areas of senior health. Exercise, usually in conjunction with good foods, can help build stronger bones that are able to withstand wear and tear without breaking. 

4. Exercise keeps your weight in check

Metabolism and the ability to naturally burn calories slows down as you age, which is one of the main reasons why it’s difficult for seniors to lose or maintain a consistent weight as they grow older. Regular exercise can burn calories and speed up your metabolism which helps you control your weight. 

5. Exercise decreases the risk of falling

Damage from falls are some of the most debilitating injuries to seniors, as they both limit independence and can actually reduce life expectancy. A good exercise routine can improve flexibility, stamina, balance, coordination, and strength in seniors. All of these things combined can work together to reduce the risk of falling

6. Exercise helps you sleep better

Sleep is important as it gives seniors energy for their day and allows the mind to rest and maintain good health. Sleep is also an important factor in reducing senior depression and irritability while at the same time improving concentration and motivation. 


Regular exercise can help you fall asleep quicker and stay asleep for longer—beating the insomnia that often keeps seniors from getting their recommended levels of sleep. Exercising can also help you feel more energized when you wake up after a good night’s sleep.

7. Exercise prevents disease

One of the most well-known benefits of exercise is that it helps to prevent a number of serious diseases that affect not only seniors, but adults of every age. This can include heart-related diseases like high-blood pressure and heart attacks, along with other diseases like diabetes and osteoporosis. 


Exercise also has been shown to improve immune health—as people who exercise regularly get sick less often than people who don’t exercise at all—along with digestive and gut health. 

8. Exercise reduces the risk of memory disease

Exercise and physical activity has been shown to reduce the chances of coming down with serious memory diseases like Alzheimer’s disease and other forms of dementia. Exercises that include multiple parts or are more detail-oriented can improve cognitive functions by working areas of the brain that might not otherwise be stimulated. 

9. Exercise encourages socialization

Most senior exercise ends up becoming a group activity, especially for seniors who are exercising in the same senior living community. This leads to increased odds of having more social engagements and opportunities to make friends and cultivate relationships. 


Even if you exercise alone, the added energy gained from a daily exercise routine can help you feel motivated to socialize rather than isolating yourself. Seniors who live more sedentary lives might not be as willing to get up and leave the comfort of home, despite the benefits of socialization.


Not all exercise needs to be intense in order to have a large impact on senior health. Even simple chair exercises, stretches, or short walks can make major long-term improvements to overall senior health. Understanding what your limits are and finding exercises that fit your lifestyle can help you improve your health, both physically and mentally for years to come.


Reprinted with permission from Vista Springs Assisted Living.