General Policies Regarding Child Visitors
Most nursing homes recognize the immense benefits of intergenerational connection and do not have an outright ban on children visiting residents. However, visitation rights are not without limitations, with rules designed to ensure the safety and well-being of all residents, many of whom have compromised immune systems or are in fragile health.
- Supervision is mandatory: Children are almost always required to be accompanied and supervised by a responsible adult throughout the visit.
- Infection control procedures: All visitors, regardless of age, must adhere to the facility's infection control protocols. This includes wearing masks, using hand sanitizer, and potentially undergoing health screenings.
- Scheduled visits: Many facilities, especially since the COVID-19 pandemic, prefer or require scheduled visits to manage visitor flow and ensure social distancing.
- Facility-specific rules: It is crucial for families to understand that each nursing home creates its own policies within state and federal guidelines. A facility may have more stringent rules, such as temporary age restrictions, especially during flu season or an outbreak of illness.
Benefits of Intergenerational Visiting
Bringing children into a nursing home can create a vibrant, uplifting atmosphere and provide significant benefits for both the young visitors and the elderly residents. A study found that young children who participated in intergenerational care had more advanced cognitive skills and higher developmental scores.
For Residents:
- Reduced loneliness: The presence of children brings new energy and conversation, significantly reducing feelings of isolation and loneliness.
- Improved mental health: Interacting with children can lift spirits, reduce depression, and combat the monotony of daily routines.
- Enhanced cognitive function: Engaging in activities like games or storytelling with kids can stimulate the mind and help delay cognitive decline.
- Increased sense of purpose: Older adults often feel a renewed sense of purpose when they can mentor younger generations and share their life stories and wisdom.
For Children:
- Development of empathy: Engaging with older adults teaches children compassion and a better understanding of the aging process.
- Improved communication skills: Interacting with a different generation can enhance a child's listening skills and ability to express feelings.
- Increased self-esteem: Children feel a boost in their self-worth when they see the joy they bring to residents through their visits.
- Connection to history: For children visiting a family member, they have a unique opportunity to learn about family history firsthand.
Preparing Children for a Nursing Home Visit
To make the visit a positive experience for everyone involved, preparation is key. A little bit of communication can go a long way in managing expectations and easing any anxieties your child may have.
- Explain the setting: Before the visit, explain in simple, age-appropriate terms what a nursing home is and why people live there. Discuss that some people may use wheelchairs or other equipment.
- Address fears and questions: Be open and honest about any questions your child has. If a loved one has dementia, explain in simple terms that they might be confused sometimes but still love and appreciate the visit.
- Plan an activity: Having a planned activity can make the visit more engaging and less intimidating for the child. Ideas include bringing a book to read, coloring pictures, or playing a simple card game.
- Manageable visit length: Keep the first few visits relatively short and sweet, especially for younger children with shorter attention spans. This ensures a positive experience without becoming overwhelming.
- Set expectations for behavior: Teach basic manners such as using inside voices, listening patiently, and being gentle with residents.
Comparison of Nursing Home Visitation Policies
Policies for children visiting nursing homes can vary significantly based on factors like the facility type and current health conditions. Families should always confirm the most up-to-date rules with their specific facility.
| Feature | Intergenerational Facilities | Typical Nursing Homes | During a Health Outbreak | Post-Pandemic/Current CMS Guidance |
|---|---|---|---|---|
| Child Visitors | Fully integrated programs that encourage daily interaction. | Generally allowed with adult supervision and adherence to facility rules. | Can be temporarily restricted or prohibited to control the spread of illness. | Emphasizes visitation rights, but facilities can set reasonable limits during peak times. |
| Required Actions | Standard protocol part of daily activities. | Must pass health screening, wear PPE, and maintain distancing as required. | Strict infection control, symptom checks, and mask-wearing are common. | Follows standard infection control guidelines from CDC and CMS. |
| Supervision | Integrated with staff and program leaders. | Required by a responsible adult at all times. | Usually requires strict adult supervision in designated areas. | Required for all minors. |
| Interaction Level | High, often with shared activities and dedicated spaces. | Varies, depends on the resident's health and the nature of the visit. | Limited interaction, likely in a private room or outdoor setting. | Close contact may be permitted if resident and visitor are aware of risks and it doesn't endanger others. |
| Best Practices | Encourage natural, spontaneous interaction. | Plan activities, manage time, and prepare the child for the environment. | Follow all facility guidance to protect vulnerable residents. | Stay updated on facility policy and public health recommendations. |
Conclusion
In conclusion, most nursing homes welcome children as visitors, but they operate under specific rules to protect residents. Families are encouraged to proactively communicate with the facility to understand its specific visitation guidelines and prepare their children for the experience. The mutually beneficial nature of intergenerational contact—which helps reduce loneliness in seniors and build empathy in children—makes the effort worthwhile. By following the proper procedures and preparing your child for the visit, you can ensure a safe, meaningful, and enjoyable experience for everyone involved.
Potential Risks and How to Mitigate Them
While the benefits are numerous, there are potential risks to consider when children visit nursing homes. These are primarily centered around health and emotional well-being and can be effectively managed with proper precautions.
- Health and Safety: Young children can carry common illnesses that may pose a risk to frail elderly residents. Facilities often have protocols to minimize this, such as requiring visitors to be symptom-free.
- Emotional Impact on Children: A nursing home can be an unfamiliar and sometimes frightening place for a child, especially if their loved one has a severe illness like dementia. It's important to explain what to expect and be available to discuss their feelings afterward.
- Unpredictable Behavior of Residents: Some residents may have behavioral changes due to their condition. A child should be prepared for the possibility of encountering residents who are unresponsive, loud, or confused.
To mitigate these risks, always prioritize communication. Speak with a facility's social worker or staff to discuss any concerns and learn how they handle such situations. Never visit if a child is sick, and always supervise them closely. By being mindful and prepared, the visit can be a safe and rewarding experience.
Activities for Kids During a Nursing Home Visit
Making the visit engaging and fun can help both the child and resident connect. A structured activity can provide a focal point for the interaction and make conversation easier.
- Read a favorite book together.
- Draw pictures or do a simple craft.
- Bring and share a family photo album.
- Play a simple card game or checkers.
- Have the child perform a short song or dance.
- Decorate the resident's room for a holiday or season.
- Work on a small jigsaw puzzle together.
These activities help break the ice, especially if a resident has communication difficulties. They focus on shared moments rather than just conversation, ensuring a meaningful connection regardless of communication barriers.
Important Outbound Resource
For families seeking general guidance on nursing home visitation, the Centers for Medicare & Medicaid Services (CMS) provides helpful Q&As that facilities must follow: https://www.cms.gov/files/document/nursing-home-visitation-faq-1223.pdf.
