Jenna Toogood and Saleen Shivji walk down one of the back halls at Kiwanis Place towards the work room where they, along with the rest of their group from their Nursing 202 class, meet to discuss the day’s activities and hold different clinical services for the seniors living in the building. Today, the nursing students are hosting a blood pressure clinic. A long line stretches out from the room and down the hall of seniors looking to take advantage of the services the students are offering to help the young nurses gain some real world experience.

“I was not expecting this many people to be waiting to have their blood pressure checked,” Shivji says with a laugh.

Both Shivji and Toogood are their second year of nursing studies at the University of Alberta. They explain that their first year of studies was heavily focused on classroom lectures and that the second year is their first chance to go out into the community and put what they’ve been learning into practice. As Toogood explains, she and Shivji both had some preconceived notions as to what their experiences were going to be working in a seniors apartment and lodge.

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“I really didn’t understand the difference between nursing homes and independent seniors living,” says Toogood. “I was really surprised to see how healthy and active everyone at Kiwanis Place is and my experiences here have really changed my assumptions as to what seniors and aging are like.”

Toogood and Shivji are part of just one group of seven nursing students spending their semester at Kiwanis Place. All nine GEF Seniors housing lodges are hosting nursing students for the semester, totalling more than 100 nursing students receiving their first practical health care experiences working with seniors. The students work with the seniors directly on different real world project like documenting health history and wellness clinic such as hand massages. For Toogood and Shivji, the regular daily activity they wound up enjoying most surprised them.

“I think there is this big generation gap between me and the seniors who are living here, so I love just talking with them and hearing all of their stories,” says Shivji.

“When you’re in a classroom all day, you don’t interact much with people and that therapeutic communication is so important when working as a nurse. It’s building a good relationship and a lot of trust that can do so much for a person’s health and wellbeing,” says Toogood.

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The group of Nursing 202 students working at the Virginia Park lodge echo Shivji and Toogood’s sentiment on the importance of communicating with the patients. In fact, the previous week’s clinical work for the students was focused entirely on connecting with a resident and beginning the process of building trust.

“Having that good communication and connection with the resident helps the healing process,” says Carlina Allegretto, one of the students in the Virginia Park group. “It’s treating the emotional side of healing, which can have a powerful effect.”

Brook Sherwin, another student from the Virginia Park group, explains how the connections from the previous week has helped them in their more practical clinical work, which has included hand hygiene and documenting health history.

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“It’s one thing to just go through a list when you’re working on someone’s health history, it’s another to actually have a connection where that trust it built and they’re willing to disclose this medical information,” says Sherwin. “Here, we’re working in a natural setting and we’re not just going through a list. The seniors we’re working with can go at their own pace.”

“Learning to communicate with older adults and having those positive connections has been helpful and is going to be important when we work as nurses,” adds Danielle Zelt, another nursing student with the Virginia Park group. “This whole experience has been about taking what we learn in textbooks and applying it to real life.”

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Though Toogood and Shivji aren’t sure just yet which way their nursing careers are going to take them, both see the value in the practices that help seniors live with a better quality of life and are seeing their interests grow in seniors health. They both credit this growing interest to their work at Kiwanis Place.

“I have a new love for doing puzzles,” Shivji says with a laugh. “Working directly with people like this is a lot more fun than sitting through a lecture”

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This is a story that was originally published in the February 2017 edition of Edmonton Prime Times.

Shanika Donalds knows better than most the harsh impacts that social isolation can have on seniors. Her role with GEF Seniors Housing as Community Supports Manager was created to help address the issue of social isolation in the seniors living in GEF Seniors Housing homes. For her, there is no such thing as a typical day. From one-on-one consultations to large-scale presentations during building resident meetings, Donalds and the rest of the Community Supports team work to find the underlying causes in the individual cases of social isolation and how to best work through those issues.

“One of our main operations as Community Supports is to help address seniors isolation in connection with quality of life, which in short is assessing if a person’s environment fulfills their needs,” says Donalds. “When an individual loses a partner or friends, the number of meaningful interactions declines, and this can include interactions with essential services like doctors and dentists. What we want to do is help those who are feeling isolated make those connections they need and raise their quality of life.”

Donalds and GEF Seniors Housing are just one group that make up the Pan Edmonton Group Addressing Social Isolation in Seniors (PEGASIS), a collective of seven seniors serving agencies operating in Edmonton. The group is coordinated by the Edmonton Seniors Coordinating Council (ESCC), which facilitates collaboration among seniors-serving organizations across Edmonton to address seniors’ sector issues in the city. Other organizations involved with PEGASIS include the Edmonton Southside Primary Care Network, Sage Seniors Association, the Westend Seniors Activity Centre, the Edmonton Mennonite Centre for Newcomers, and Drive Happiness.

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Tim Henderson is the Community Connector and Project Manager for the PEGASIS project with the ESCC and his role is to connect all the seniors serving agencies and see where collaboration works best to help meet the needs of isolated seniors. He explains that this kind of collaboration is a lot of work and takes a lot of commitment and he’s here to help facilitate that collaboration through, “trying to bridge the challenges of government funding and accountability, different organizational cultures, external stakeholders, opportunities, and demands, and help to create a supportive environment for all seniors.”

Reducing social isolation on its surface seems like a straight-forward goal, Henderson points out. But once you start breaking down everything that encompasses social isolation, the solutions become much more complicated.

“Research has shown how destructive social isolation can be, and with the social and economic emphasis on individual success with which we live, the risks of, and ballooning costs related to, isolation are enormous as our demographics change and our population ages,” says Henderson. “Aging is something that we are all doing, and ensuring that we get to age well is a collective endeavour. I can’t think of anything more satisfying than working with a group of people to create a population shift in thinking and living.”

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Part of the collaborative effort in PEGASIS is ensuring that all the seniors serving agencies in Edmonton know about each other and how their services can help each other and, ultimately, help the seniors who are in need. For example, if a community coordinator with Sage Seniors Association is working with an individual and discovers they can’t get around to see their friends or make it to medical appointments and its affecting their quality of life, that community coordinator with Sage can connect with Drive Happiness to make sure the senior has access to transportation.

“The challenge is honouring the individual agencies and projects while facilitating their learning and capacity to work together in new ways, rather than simply sharing information about what they are doing,” says Henderson.

Henderson also has a clear view as to what success looks like for PEGASIS. “There are two parts to success for PEGASIS,” he explains. “The first will be the real collaboration of the seven partners working together to map out and create a meaningful and workable plan to reduce social isolation now and in the future. The second part will be the expansion of the group collaboration so that we truly are the pan-Edmonton group addressing social isolation of seniors.”

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Donalds explains that her team, with their specific mandate to serve seniors living in GEF Seniors Housing buildings, has its collection of challenges. Residents and tenants living in GEF Seniors Housing buildings pride themselves in living independently, so for many asking for help feels like submitting their independence.

“It’s actually the opposite where we’re working to ensure that the residents can keep living independently and have access to all the essential services they need while still having those meaningful connections,” says Donalds.

But for every bit of pushback that Donalds may see from the people she works with, she just as often sees seniors immediately acknowledging they need help and embracing what the Community Supports team has to offer.

“One of my proudest achievements is when I get a call from a senior who saw a poster or a brochure and they took the initiative to seek out help,” says Donalds. “Then, it spreads by word of mouth where seniors tell each other they should call us and that it’s a good thing and we really help.”