We were surprised by the results of our recent mini-poll, when we asked six case workers serving our elder population what they considered the most pressing current problem elders are facing. 3 out of 6 (50%) said, "internet scams". Internet scams?! What’s going on now? What kind of scoundrel would cheat the elderly out of the last of their nest egg?

Case workers tell us that the shameful practice of scamming seniors is on the rise. With the elderly population growing, seniors racked up more than $3 billion in losses this past year. Case workers say that the heart-breaking irony of elder fraud is that seniors are targeted because they tend to be trusting and polite.

Everyone knows how the pandemic walloped the elderly in 2020. Nursing homes became the epicenter of COVID-19 deaths. No, Mr. Sinatra, it was not “a very good year” for the elderly.

Increasing Demand…

Meals On Wheels, which delivers meals to the elderly in their homes and at senior centers, has seen demand for their services explode since the pandemic started.

• When COVID-19 hit, a staggering 89% of Meals On Wheels programs reported increased demand for meals, practically overnight.
• 79% of Meals On Wheels programs saw their demand double.
• Older adults who were mobile prior to the pandemic can no longer safely go to stores to buy their own food, and many do not have loved ones close by to help them through this time. Add this to the roster of seniors who were already homebound.

The letter below from a young nurse to her grandmother touches on the painful separation from one another we all feel that has caused our country’s uneven response to, and resulting suffering from, this terrible pandemic.

Ellen is a 31-year-old nurse working in a Seattle intensive care unit for the past six months watching Covid patients die alone. She sat down after her shift one night and wrote this letter to her grandmother, who she hadn’t visited in more than a year.

I think this thoughtful young woman captures the suffering that social separation can cause. With her permission, I publish her touching letter below...

While singing the praises of our dedicated case workers during the coronavirus pandemic, I have received numerous inquiries from readers who do not know what case workers do in hospital and post-care settings. Apparently, the critical role of medical social workers is not clear to the general public. I thought it best, therefore, to let them speak for themselves.

Adults 65 and older account for 16% of the US population but 80% of COVID-19 deaths. Even as most states begin to gradually reopen society to restart a stalled economy, the message to the elderly is “NOT YOU”. You best - “STAY HOME” – “ISOLATE” - “QUARANTINE” while the rest of society risks illness trying to get on with life.

Social workers who work with the elderly are concerned. They say that during times of crisis, mental health cannot be overlooked. Loneliness and social isolation for older adults have a deep, emotional impact, sometimes leading to social disorders such as depression and anxiety. Social isolation has also been linked to increases in emergency department visits, hospitalizations, and nursing home placements.

Great responsibility yields great reward.  This is especially true of SARCOA (Southern Alabama Regional Council on Aging), the Area Agency on Aging (AAA) serving senior citizens of Barbour, Coffee, Covington, Dale, Geneva, Henry, and Houston counties of southeast Alabama.  By continuously seeking ways to better serve the rapidly growing senior population through planning, coordinating, and developing community levels of service, SARCOA is able to make a huge difference as one of 13 AAA’s in Alabama, and one of more than 650 AAA’s in the nation

With 88% of 15,400 Medicare and Medicaid-eligible nursing homes reporting as of May 31, Medicare officials rolled out a federal database showing that the nation's nursing homes had 95,515 confirmed COVID-19 cases, 58,288 suspected cases, and more than 31,782 deaths among residents and staff. The Kaiser Family Foundation quickly amended the government’s admittedly incomplete statistics reporting more than 43,000 deaths, over a third of the nation’s known coronavirus deaths.

In our 2015 report, The Aging Tidal Wave, we dealt with the healthcare crisis that was about to overwhelm the long-term care industry. The aging baby-boomer population was growing rapidly while the number of caregivers was actually declining.

Throughout life, we may find ourselves having difficult conversations with our loved ones. There is never an easy way to approach these, and some can be upsetting to even think of. Discussing end-of-life arrangements is perhaps one of the hardest to reconcile, yet it can be one of the most important conversations we can have.