Psychosocial Assessment, which we have been following in my You Tube series along with the functional assessment, provides the foundation for all the care management that follows. Combined, the functional and the psychosocial assessments are not only critical to developing a relevant and appropriate care plan, but in fact they provide an in-depth perspective of the older adult’s quality of life. The goals of clinicians and researchers alike have moved from focusing on how long a particular intervention can extend an older adult’s life, to a more holistic approach that recognizes the importance of increasing the quality of the older adult’s life. Within the fields of social work and care management there has also been a shift from focus on assessing client deficits (impairment or disease) to a broader perspective that focuses on the strengths of clients and their family systems.
The knowledge gained from a comprehensive psychosocial assessment provides objective measurable information about the cognitive, social, psychological, spiritual, financial, and legal dimensions of the client system, as well as important subjective information about the entire client system’s coping mechanisms and relationships In the previous You Tube’s on Psychosocial assessment blogs have primarily focus on the cognitive, psychological, economic, and social dimensions In the next few blogs we will focus on assessing the potential for substance abuse, legal dimensions and elder maltreatment and how to put all the assessment data together in a care plan.
It’s almost Thanksgiving, Christmas and Hanukkah. Do you have aging parent issues? If you suspect your holiday visit to aging relatives could have some scary scenes, here are some red flags to put in a checklist and share with your midlife siblings before the holiday call. If alarm bells go off it may be time to call a geriatric care manager and have a family meeting.
Perhaps older parents have piles of junk mail, stained dirty attire, unwrapped gifts when Mom used to shine through her color coordinated presents. All are cause for the 911 alarm- then action.
You can use this list to assess your parents or older family members during the holidays and compare notes on a post holiday conference call. If all midlife siblings have the same criteria, it makes easier to agree what to do and what to flag as family New Year’s resolutions.
Below is a list of red flags. If you see any red signals on Thanksgiving, Hanukkah or face them on Christmas- now is the time to do something about it. Use this is a checklist of some worrisome signs you may have seen.
Alarm Bells List for Visiting Long Distance Relatives During the Holidays
Clutter in a home that was once always neat
Memory loss, change in short-term memory
Poor grooming by a person who was once meticulous
Refusing to go with friends on outings or to religious services
refusing any suggestion or conversely agreeing to everything with-out consideration
Mood swings, getting angry qui
Refusing to go to medical providers
Cant take care of activities of daily living: cooking, bathing, dressing, housekeeping, etc.
Entering contests, credit card maxed out on shopping channels
When the midlife adult children return from the holidays, the family can have a family meeting alone or with an the aging professional and look at the problems on everyone’s the list, agree on the top red flags and start helping the long distance family.
As nearly 7 million Americans and innumerable midlife siblings are responsible for the care of an older family member live an average of 300 miles away, this is a great gift to midlife family members and their loved ones.
Don’t wait till you and your midlife siblings are shocked out of sleep by late-night calls from brothers and sisters, frantically telling them of a crisis with aging Mom or Dad. Don’t force yourself and the other adult children to book last minute, high-cost flights, and gather in scary, sterile hospital rooms with brothers and sisters they have not really communicated in years. If you do -siblings might stare starkly at each other, then have to face doctors and social workers that may ask the family to make excruciating decisions about Mom and Dad. Call a geriatric care manager and you will be really thankful this Th