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

Pay Family Caregivers to Stop Free Labor of Love

January 10, 2016

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Excellent article in the New York Times today suggesting the US recognize caregiving as legitimate work and stop the free “infrastructure of care” through puny family leave, making work and family a lifestyle choice and  setting up a universal basic income for caregiving. 

Filed Under: Aging Tagged With: aging life and geraitric care manager, caregiving family members, family caregiver, gender and caregiving

Areas to Cover in Whole Family Approach -Religious and Cultural Issues

June 12, 2013

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Religious and Cultural Issues – Expectations based on religious and/or cultural practices, rituals, and differing belief systems between family members all need to be considered in the “ Whole Family Approach “

Are the expectations of the adult children and the parents consistent? Oftentimes, conflicts will emerge due to differing life experiences. As intermarriage becomes more common, the attitudes within the family towards religious and cultural differences have created new challenges, particularly among the different generations.

In our You Tube series on whole family  tools cultural issues are key because this Danish born aging mother brings a cultural tradition of the “ “dutiful daughter” with her. This is a long tradition in her homeland where a daughter is chosen to care for the mother until she dies.

This conflicts with the American “here and now” because her 2013 daughter is an attorney with two teenage daughters who cannot exclusively care for her aging mother.

The geriatric care manager http://www.caremanager.org/ is able to assess these cultural differences using the Whole Family approach and find a solution that meet mother and daughter’s needs and get the care the aging mother needs at the same time

 

Filed Under: Aging Tagged With: aging parent, aging parent care, assessing the caregiver, care plan interventions, care planning, caregiver assessment, caregiver overwhelm, caregiver stress, caregiving family members, case manager, cultural assessment, dutiful daughter syndrome, geraitric care manager, Geriatric Assessment, geriatric care management, geriatric care managers, Marriage and Family Therapist, MFT, My Geriatric Care Management Operations Manual, National Association of Geriatric Care Managers Conference, only daughter syndrome, religious issues in aging, role of the girl, Whole Family Approach, whole family approach in aging, whole family assessment

GCM Tools for the Aging Family

May 22, 2013

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Geriatric Care Managers (GCM’s) solve the problems of older people and aging families with tools of geriatric assessment and care plans. They unravel the changing needs of older clients and their family and private and family caregivers by regularly monitoring and assessing their needs.

GCMs have what I call a “ Whole Family” approach. With the “Whole Family” tool, the GCM serves the older client but also organizes the aging family and midlife siblings to work as a team to support the older person. Now that the family is no longer Ozzie and Harriet and  has morphed into the extended family ( Modern Family)- this is vital. Stepsibling adult children can cut off other siblings or step parents and fracture the potential  to field a family team This takes viewing the family system  with an assessment labeled a family genogram, which can measure who is relating to whom and who is cut off from whom.  GCM’s then help reorganize the aging family to support them to share the care for the older person.

This support to the family by the GCM is especially given to the designated family caregiver, as they provide direct care to the older client and may make decisions about care. GCM’s also may also oftem provide support  a long distance care provider .Giving direct hands on care  or long distance care can spiral into caregiver stress and burnout. A GCM will use a caregiver assessment tool to measure caregiver strain, which often spins an aging family into chaos.

 

 

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, aging parent crisis, assessing the caregiver, Care Managers Working with the Aging Family, care monitoring, care plan, care plan interventions, care planning, caregiver burden, caregiver burnout, caregiver overwhelm, caregiver stress, caregiving family members, case manager, geraitric assessment, geraitric care manager, geriatric care management, informal caregiver, informal supports of an older person, LCSW, long distance care provider, long distance caregiver, Marriage and Family Therapist, My Geriatric Care Management Operations Manual, National Association of Geriatric Care Managers, National Association of Geriatric Care Managers Conference, whole family approach in aging

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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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