Cathy Cress

Expert in Aging Life and Geriatric Care Management

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How to Assess the Caregiver and Avoid Hospital Readmission

October 1, 2017

 

Assessing the Family Caregiver is a relatively new but crucial concept for geriatric care managers and professionals in aging.As geriatric care managers and aging professional, we are health and social services oriented. For almost 3 decades we have assessed the care receiver for problems with function, social connection, and psychological issues. If we suspect depression we have completed that screen. If our client plans to move, has cultural needs and preferences, exhibits signs of dementia, need ways to improve quality of life or a spiritual connection, we have assessed the care receiver for those problems.

All our assessments have left out the major fact – care is an exchange. To receive care, the patient/client usually needs a family caregiver to give or supervise it. That family caregiver is the glue that holds it all together and his or her inner bond begins to break with the strain of caring.

Other countries have seen what the US has yet to grasp. In the United Kingdom, a seminal law passed in 1995 called the Recognition and Services Act , which provided British caregivers a statutory right to request an assessment at the same time that a frail elder or adult with disabilities is assessed.

So developing a caregiver assessment is critical, especially in this era of penalties to hospitals for readmission. The caregiver is the key to keeping an older person in the community and not back in the hospital. If they are not trained, have physical problems that inhibit caring, find some tasks, like changing adult diapers uncomfortable, have no car to pick up meds or drive to the doctor’s follow-up an appointment, you have a problem and probably a readmission.

Learn how to do a caregiver assessment along with a care receiver assessment.This will help you keep your aging client both out of the hospital and potentially out of inappropriate placement in a skilled nursing facility. Plus you will learn just not how to assess caregiver burnout but be able to create a care plan that will help your family caregiver have a better quality of life while they giver better care to their loved one. Read the chapter ” Assessing the Caregiver ” in my book Care Manager’s Working With the Aging Family, Jones and Bartlett. The price has just been cut in half to make it more affordable for the practitioner.

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, caregiver, caregiver assessment, case manager, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, nurse advocate, nurse care manager, Private Duty Home Care, Quality of Life Tagged With: aging parent, aging parent care, caregiver assessment, caregiver burnout, caregiver family meeting, caregiver overload, caregiver overload with sisters, caregiving family members, caring for a yourself as a parent, case manager, elder care crisis, geraitric assessment, geriatric care management, geriatric care managers, geritaric care manager, National Association of Geriatric Care Managers, parent care, Psychosocial assessment, red flags for a family meeting, stress and burden

How to Assess the Caregiver and Avoid Hospital Readmission

August 30, 2017

 

Assessing the Family Caregiver is a new but crucial concept for geriatric care managers and professionals in aging.As geriatric care managers and aging professional, we are health and social services oriented. For almost 3 decades we have assessed the care receiver for problems with function, social connection, and psychological issues. If we suspect depression we have completed that screen. If our client plans to move, has cultural needs and preferences, exhibits signs of dementia, need ways to improve quality of life or a spiritual connection, we have assessed the care receiver for those problems.

All our assessments have left out the major fact – care is an exchange. To receive care, the patient/client usually needs a family caregiver to give or supervise it. That family caregiver is the glue that holds it all together and his or her inner bond begins to break with the strain of caring.

Other countries have seen what the US has yet to grasp. In the United Kingdom, a seminal law passed in 1995 called the Recognition and Services Act , which provided British caregivers a statutory right to request an assessment at the same time that a frail elder or adult with disabilities is assessed.

So developing a caregiver assessment is critical, especially in this era of penalties to hospitals for readmission. The caregiver is the key to keeping an older person in the community and not back in the hospital. If they are not trained, have physical problems that inhibit caring, find some tasks, like changing adult diapers uncomfortable, have no car to pick up meds or drive to the doctor’s follow up an appointment, you have a problem and probably a readmission.

Learn how to do a caregiver assessment along with a care receiver assessment .This will help you keep your aging client both out of the hospital and potentially out of inappropriate placement in a skilled nursing facility. Plus you will learn just not how to assess caregiver burnout but be able to create a care plan that will help your family caregiver have a better quality of life while they giver better care to their loved one. Read the chapter ” Assessing the Caregiver ” in my book Care Manager’s Working With the Aging Family, Jones and Bartlett. The price has just been cut in half to make it more affordable for the practitioner.

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, caregiver, caregiver assessment, case manager, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, nurse advocate, nurse care manager, Private Duty Home Care, Quality of Life Tagged With: aging parent, aging parent care, caregiver assessment, caregiver burnout, caregiver family meeting, caregiver overload, caregiver overload with sisters, caregiving family members, caring for a yourself as a parent, case manager, elder care crisis, geraitric assessment, geriatric care management, geriatric care managers, geritaric care manager, National Association of Geriatric Care Managers, parent care, Psychosocial assessment, red flags for a family meeting, stress and burden

5 Ways a Geriatric Care Manager help a Long Distance Care Provider

August 31, 2016

Filed Under: Aging Tagged With: aging life care manager, care manager, caregiver burnout, geriatric care manager, long distance care provider

What Are the Red Flags For Caregiver Elder Abuse?

March 1, 2015

channel_caregiver_burnout.jpg

 

 

If caregiver abuse is suspected, a caregiver assessment is a critical immediate tool. This is a situation where the GCM must contact Adult Protective Services, following their own state’s laws. In most states you are a mandated reporter .Elder abuse can be triggered by caregiver stress and depression in some situations. Depression that reaches a clinical level in a caregiver can be predictive of elder abuse.

 


What are red flags for caregiver abuse that should be picked up in a psychosocial assessment  in the beginning of the case and should trigger a caregiver assessment immediately?

 

The caregiver:

 

 

 

ØFears that he/she will become violent

 

 

 

ØSuffers from low self esteem

 

 

 

ØPerceives that she is not receiving

 

Adequate help or support from others

 

 

 

ØViews care giving as a burden

 

 

 

ØExperiences emotional and mental burnout

Depression or anxiety

 

 

 

 

 

 

 

ØFeels “caught in the middle” by

 

providing care to children and elderly

 

Family members at the same time

 

 

 

ØHas “old anger” toward the care

 

 receiver that can be traced back to

 

 their relationship in the past

 

 

 

 

 

■

Filed Under: Aging Tagged With: caregiver assessment, caregiver burnout, elder abuse, elder abuse by family members, physical elder abuse

How Do You Convince Family Caregiver to Accept Caregiver Assessment

February 28, 2015

channel_caregiver_burnout.jpg

 

 

Caregivers frequently neglect their own health and balk at a caregiver assessment. How does a care manager sell this needed product to a family caregiver ? The care manager must make the link between the needs and health of the caregiver and the health of the care receiver crystal clear. Underscoring that the caregiver cannot care for the client if they themselves are ill or unhealthy is often a good way to approach this. 

You can meet their resistance by emphasizing that this is all about making them strong and healthy enough to continue to render care. This means being convinced you as a GCM that the caregiver assessment is a needed product. You can’t sell this to the Family caregiver  unless you believe in it yourself. You have to understand that if your caregiver falls apart, your care plan also falls apart. Assessing the care provider means an intact care plan, no unnecessary placement,  and less chance of hiring expensive but  critically needed needed  private home care because the caregiver fell mentally or physically ill from caregiver stress. 

 

 

Filed Under: Aging Tagged With: caregiver assessment, caregiver burnout, geriatric care manager, unnecessary placement

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Cathy Cress is the leading national expert in Aging Life and Geriatric Care Management. She is author of Handbook of Geriatric Care Management 4th edition, Jones and Bartlett, published 2015 and known as the bible of geriatric care management. Continue Reading >

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