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

Intake- Picking Up Need For VA Benefits Through Silence

July 16, 2015

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 One of those life-changing losses for aging vets was serving our country in the World War II. The long term impacts that experience can have on those who served has been in a state of denial by the Greatest Generation, and the veterans themselves.

 When the aging life or GCM does a psychosocial assessment standard care management practice may not guarantee that the care manager will always inquire more deeply into whether military service represents a life event that has influenced or continues to influence a man or woman’s physical and emotional health and well-being. Nor does it guartantee that the WWII vet , will talk openly their  40’s wounded  warrior past

The fact is, besides The VA itself, paltry attempt s have been made understanding the results of war of the 9 millions WWII vets and their families hidden psychic wounds like PTSD

Do when care manager does an intake family an client do not identify themselves as veterans or get to those deep wound without strong support from the GCM In an effort to avoid confronting the pain and trauma reliving h that experience, WWII may be avoided at all costs sabotaging the VA’s help.

My own father not seeking services from VA for PTSD  for 50 years,until he found my brother dead is a deadly example .

 

Filed Under: Aging Tagged With: aging life or geriatric care manager, Psychosocial assessment, PTSD, PTSD in Vets, PTSD in Vets World War II

What is a Geriatric Care Management Care Plan? Sifting Clues

July 30, 2013

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To create a care plan, the next step is to sort through these data in your completed your functional and psychosocial assessments. You are like detective Sherlock Holmes or, if you are female GCM, Holmes fictional wife Mary Russell , portrayed in mystery author Laurie King’s series on Holmes.

This is where you, like detective Mary Russell, sift through clues, leaving no stone upturned, to ensure that all evidence to create the care plan has been taken into account before reaching conclusions. You must examine the clues closely.

Talk to each person in the older clients’ formal or informal support system and make sure all evidence is examined. Everyone has a different version of what happened to bring the client to you with a crisis you must solve.

. Analyze the client’s problems from all perspectives and then synthesize all the opinions into one truth, which will form your professional opinion. Collect all the data, through the assessments and one to one conversations and then look at each person’s point of view to come up with your own professional GCM point of view, which will be your care plan.

 

Filed Under: Aging Tagged With: Functional Assessment, geriatric care manager, Psychosocial assessment, Sherlock Holmes

What is a Geriatric Care Management Care Plan?Assessments

July 29, 2013

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How does a geriatric care manager or aging professional create a care plan or your professional opinion of what the family ought to do to solve its problems? You begin by gathering all of the data with your assessment tools: your functional assessment data and your psychosocial assessment . You then add additional data you have gleaned from any specialized assessment you have done, such as depression, spiritual, or quality of life

Filed Under: Aging Tagged With: care plan, Functional Assessment, Psychosocial assessment, quaility of life assessment

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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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