While we were always talking about how to tackle climate change and pollution and grumbling about no time to spend with family, God just decided he had enough. He decided to step in and here we are. A deadly virus locked down the world and disrupted our lives in such a way that it will probably take us years and years to recover from it. Economy, livelihood and the very freedom of living life were snatched from us and we lost loved ones. No one was ever prepared for this onslaught. With this came a pandemic of human sufferings. Thousands of families, including daily wage earners, senior citizens, widows, transgenders, migrant workers, old age homes and orphanages residents, etc, were impacted. But then when we face a situation with helpless times of distress, we not only find ourselves, but humanity comes alive and we actually became truly 'human' with a small act of kindness. In this very frightening environment, there emerged #CovidHeroes who stepped out of their comfort zones to help others without worrying about their own safety.
Impact on Seniors
The COVID-19 pandemic caused untold fear and suffering for seniors
across the world. As the virus spread rapidly to developing countries, the death
rate for seniors also rose rapidly. Health care was denied for conditions
unrelated to COVID-19 as the case rose. Seniors, especially those with medical
problems like cardiovascular disease, diabetes, chronic respiratory disease and
cancer became more likely to contract the virus. Neglect and abuse in elder care
facilities impacted their well-being and mental health.
The first wave of #Covid came suddenly and with the hasty lockdown and no proper guidelines, it was all was trial and error. When a national lockdown was declared, the citizens, especially senior citizens who were already suffering from other illnesses or co-morbidity were asked to stay at home and not step out. Daily walks, exercise routines, access to a doctor, health care, medicine, food, recreation, caregivers, housekeeping was suddenly stopped. The pandemic impacted the health of seniors living on their own, that of seniors whose children had settled abroad and even of those living with their families in different ways. Misinformation and negative news added to the panic. To add to this, was the uncertainty and fear that they might not be fit enough to travel or perhaps never be able to travel abroad or within the country, to see their children in the near future. As time passed, restrictions in movement, communication problems and social distancing lead to social isolation, not just with seniors, but every member of the family. Children, who were used to their space began to feel suffocated working from home and it impacted their interaction with their parents too. Everyone was head down into mobiles or laptops and even talking to seniors about their daily routine went missing. With no entertainment or physical interaction, the atmosphere at home was affected and in some cases finances, work pressures and stress in the family became issues.
The good part was that many organisations started virtual socializing and online events to keep seniors from being completely isolated while in lockdown. Some taught them skills like handling finance, making video calls while some created online contests. This helped a great deal in lessening the feeling of isolation and disconnect. However, living in urban India, most of us tend to forget about those seniors living in rural India, who have also been affected by the pandemic and social distancing norms. Workers have migrated back to their home towns and this has led to an increased risk of exposure to the virus among rural communities. There is a lack of awareness, low levels of nutrition, ill-equipped and insufficient public health centers too. Worst was the impact on women of all ages trapped at home with abusive husbands and their drinking problems.
But where there are problems, there are also people who find the solutions. #CovidHeroes, such as Actor, Sonu Sood helped migrant workers of all ages, to reach homes and even arranged foods and shelters for those stuck in the lockdown. Closer to home is my friend and inspiration, Sailesh Mishra, Founder, Silver Innings, who has been tirelessly helping seniors living alone at home and seniors at his own resident's home, since the first wave of the virus struck. Another friend, Dipesh Tank, a Mumbai-based anti-trafficking activist, distributed reflectors to stick on the backs of migrants to ensure their safety as they walked home on the highways. How can we even forget those unsung #CovidHeroes who went out of the way to help seniors and others, find oxygen cylinders, hospital beds and provided them medicines, provisions, etc? These heroes restored our faith in humanity each day during the darkest hours of the pandemic, despite the several challenges faced.
Challenges faced by seniors
Everyone faced
challenges, irrespective of age, but in this entire time, seniors seemed to be
lost in the mayhem.
Ø Efforts to protect the
mental and physical health of seniors as also that of health workers,
caregivers, volunteers and community leaders became difficult. Mental health
took a back seat.
Ø Everything was sudden
and unsystematic with no proper protocol or guidelines. There was a complete
lack of coordination between different authorities from the Police to
Municipality to Medical health workers, Health care professionals and so on.
Ø With no public transport
and restriction on movement, the caregivers and care partners could not attend
to seniors. No one was available for home care.
Ø Caregivers, medical
professionals and nurses were unable to attend to the seniors as housing societies
refused entry. Societies acted tough and did not allow people to visit, or home
deliver grocery, medicine, food etc.
Ø Seniors who spent
evenings on the garden bench with their peers felt disconnected and at a loss.
Ø Family members with
person with Dementia and disability at their home faced challenging times.
Ø Physiological changes
that come with aging and other health conditions spiraled and reports of
increase in Elder Abuse began to do the rounds.
Ø Single and seniors living on their own suffered most
especially as they faced challenges to
use Digital media.
Ø In rural India, the non-availability
of transport, medical aid, food, absence of family members and even loss of
employment and ignorance and myths around the pandemic and its transmission, affected
the mental health of the seniors in remote parts of the country.
Ø Misinformation, comorbidity, shortage and accessibility of the vaccination drive took time to get resolved, but by then many had already suffered at the hands of the virus.
When heartbreaking
stories began to come in from all corners of the country, I turned again to
Sailesh Mishra, Silver Innings to ask how difficult it was for him to handle
the situation at his A1 Snehanjali, Mumbai city's First Assisted Living 24 x 7
Eldercare home for Dementia, Alzheimer's and Parkinson's. "Regular talk,
updates and video call to families of residents and staff with regular
counseling of staff and meeting the basic everyday needs of staff and care
partners were key. It is a difficult time, but we continue with our routine
meaningful engagement activity and person-centric care", he said. He added,
‘Sadly, people never realised that seniors were as it is socially vulnerable
and that the lockdown brought with it a whole lot of other problems, such as
insomnia, depression and those not directly related to the pandemic. I still
receive a number of calls from seniors for support."
I questioned the way
forward for support to seniors and here are some way forward learnings as
suggested by Sailesh Mishra, Founder, Silver Innings:
Way forward learnings by Sailesh Mishra, Founder,
Silver Innings
Ø Social distancing should
not result in social disengagement, in
any way
Ø Create disaster management
plans for times like the pandemic, especially for seniors with a special focus on
food, clothing, shelter, health care, recreation, livelihood, security and rehabilitation
with dignity
Ø Make old-age care as
‘Essential Services’ in the manifesto
Ø Create a national
single point contact center for seniors with a mental care helpline and outbound
calls to understand their needs and well-being.
Ø Identify, understand and
resolve the challenges currently faced by seniors, not just in urban areas but in
rural areas of the country too.
Ø Involve NGOs, educational institutes, relevant authorities, etc. and create a university course on old age care with special SOP for Dementia and mental health.
Personally, I think the
first step would be to start closer to home and involve local communities and
societies to take care of seniors in their areas, especially those living alone.
The next and perhaps the most important step is that youth with new technology
and seniors with their experience, need to work together to create a better
inclusive environment for all. Protecting senior citizens rights will help them
to lead dignified, secure lives, as equal members of society will enable them
to be treated with respect on an equal basis with younger people. Providing care
and comfort to enable them to lead a healthy life without worries and anxiety is
their right. Aging cannot be prevented and everyone grows old. We do not need
another pandemic to teach us how to deal with the well-being of our seniors.
For senior citizens related issues contact: sailesh@silverinnings.com
