Genogram -Tools to Relieve a Family Caregiver-

September 9, 2019

What should be in your caregiver assessment toolbox?

A tool that you can tools use to solve the caregiver and care receiver’s problems you found in your care plan is a genogram.

A geriatric care managers assessment of the family caregiver is critical. Caregivers can and do fall apart. If you already did your caregiver assessment- great. But the extended family of the care receiver (client) should be assessed to find their strengths, weaknesses, dangers and real ability to help render caregiving services. This is where a genogram comes in.

A genogram allow you to see family patterns on a single page

Using a tool called a genogram can really show you the view of a family on a chart.Patterns in a family, especially the aging family that geriatric care managers and ALCA members serve, can be seen in a genogram showing you, for example, the generational cut off that happens over and over or alcoholism, or spousal abuse. You can see the weakness of family ties and where the care managers needed to focus to help the family get care for an older person.

A genogram allow you to see family support

A good genogram can be helpful in assessing the care receiver’s family support network and each relative’s relationship to the older client. Your genogram when paired with a psychosocial assessment, can help you assess whether the older client is living with a helpful spouse or partner, living with a difficult spouse, has relationship with an ex spouse, has cooperative and supportive children or grandchildren, has fighting or alienated children or grandchildren, has warring or alienated stepchildren or adoptive, has several children but only one child who “does it all,”.

In other words you pull up a traffic light, it is green, yellow or dangerous red. The genogram also can help tell the GCM whether you have ex spouses or partners who want to participate as caregivers and what their emotional relationship is the care receiver. In other words is there green-lighted support or red saying stop here-when the family caregiver desperately needs your GPS to find that that new road.

How to Assess the Caregiver and Avoid Hospital Readmission

September 6, 2019

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.

How Do You Create Emotional Quality of Life in Homebound Seniors?

August 14, 2019

Homebound seniors are miserably isolated and lonely with a devastating emotional quality of life.

AARP has estimated the there are 19.6 million in the US. This can be deadly to their quality of life. There are many answers new approaches throughout the US. One is called Virtual Senior Centers. These game-changing idea magically allow older people, who cannot get out, to use technology or the phone to enhance their emotional and physical quality of life. This is a brilliant idea

Senior Center Without Walls, another approach has been around since 2004. Each week, homebound seniors can access ,over 70 groups by phone or online, all from the comfort of home. Nancy Lynn Jarvis a mystery writer living in Santa Cruz reads each of her mysteries, as they are published live on the telephone to an entire group of homebound seniors in the San Francisco Bay area. Isolated seniors can access a wide breadth of fun and games the isolated seniors can find- just by joining

The Virtual Senior Center really opens up the world for homebound senior enhancing their emotional and intellectual quality of life. It also elevates the quality of life of the caregiver because it gives them a respite and the comfort that their loved one is experiencing a program that offers joy- the joy that comes from joining a community, making new friends and learning new things you choose to be part of, an amazing benefit for homebound seniors.

We’re Still Here an art exhibit is presently in Santa Cruz California and will travel to other museums in the state, addresses the plight of lonely and isolated seniors . Art and community organizing about the lives of lonely seniors are the thrust of this exhibit , for the the 70,000 visitors expected to attend this year in its run from April to September. They can to pick cards that offer one lonely senior a visit, a ride a chances to interact with a visitor. This exhibit will travel counties throughout California through other art museums, spreading the message that lonely isolated seniors need help- all through art. The exhibit was spearheaded by Nina Simon who is now world famous museum director and author who builds and teaches community driven museums.

Quality Of Life in Geriatric Care Agencies

Sage Eldercare Solutions a geriatric care management agency is Millbrae , California, developed a brilliant program , called Hummingbird designed by Nina Herndon a geriatric care manager with a passion for quality of life for seniors.The innovative idea engages clients through one-on-one activity sessions, carefully planned outings, and individualized Therapeutic Activity Kits that can be used by family members, care providers, and other care team members at any time to engage clients in a range of meaningful and stimulating activities. Sessions might include memory or sensory games, memoir writing, armchair travel, gardening, creating art or crafts, or special outings to a place connected with a client’s past or special interests.

Lifespan a 35 year old geriatric care agency in Santa Cruz, California recently opened their Well- Being program , another quality of life program that which encourages activities to enhance emotional, physical, intellectual and spiritual quality of life for seniors living in the community. Through a Well-Being Assessment of functional, psychosocial and general quality of life, a professional Lifespan Care Manager will identify areas that may promote the older person’s sense of well-being

If you are a geriatric care manager and think of adding a quality of life program that can enhance not just quality of care but the joy you give isolated seniors in your community, check out the quality of life Concierge Companion service included in my Geriatric Care Operations Manual

How Can Someone with Dementia Have a Better Quality of Life ?

July 2, 2019

Reminiscence and Story Telling

The role of story telling and reminiscence is very important for elders, as they look back on their life. It gives them a chance to socialize as they tell their story. It also means someone usually listens or documents. That magically gives the elder social interaction and connectiveness.

Elders sharing stories means passing on history, which gives the older person a chance to give the larger picture of their life and family history to children and grandchildren or extended family, who may have not heard all the details of their grandparents or parents life before. So the quality of the older person of both the older person and the aging family are increased through oral history and reminiscence

The aging professional can suggest family or friends just sitting down and prompting a story or oral history using technology like your phone

Even elders with Alzheimers can find new joy with Reminiscence

When an elderly person develops Alzheimer’s or other forms of dementia, the short-term memory is frequently affected but long-term memories can remain as intact and vivid as they have always been during the course of the patient’s life.. As a result healthcare professionals can use practice called reminiscence therapy to help combat the frustration, confusion, and depression that can often accompany dementia and even bring joy to the older person

What is reminiscence therapy?

Reminiscence therapy is like a therapy session where the elderly person will spend time recalling memories of his or her life, perhaps telling stories about things that happened and events the person can recall.

Sometimes senior experts can use photos, familiar objects, or other such things to help jog the memory of the patient. Some therapists can a scrapbook of a person’s life, including photos, letters, and other such personal memorabilia. This becomes a s visual biography of the patient’s life and helps him or her remember who he or she is.

How does this quality of life therapy help? Almost all elderly men and women can start feeling discouraged and frustrated with their memory issues. Reminiscence can give peace and acceptance of the current situation by helping the person remember that he or she has had a good and full life life.It also prompts communication skills of elderly people who otherwise may not feel very compelled to open up and share anything with anyone else.

Dementia and Reminiscence of 4th of July

People with dementia can get given a richer quality of life by giving the people who will actually listen to them, so that they feel as their thoughts and feelings actually matter. To someone who has an elderly loved one suffering from dementia, this benefit alone can make reminiscence therapy a form of joy for a very confused elder.so serve that Hamburger from the grill and ask the elder who you serve it to, what did they eat at the 4th of July when they were young and then —just listen.

How Catchy Copy Can Sign Up New Long Distance GCM Clients

January 30, 2019

Care managers need to create gold standard written copy to advertise their services to concierge customers , but need a Wonder Woman spin that will make copy stand out from your competition. Here is a sample you may use for long distance care providers

“If you are a long distance family care provider for an elder, give yourself Wonder Woman as a powerful sister to help with the care your aging family member.

Using a preeminent gold standard care manager is a preventative, prudent excellent choice for 3 reasons.

1. If there is a crisis, it is the safest choice to have the GCM solve it if you live long distance. In an urgent situation, the care manager can go to the hospital or emergency room.

2. This is more cost-effective than you getting on last-minute, expensive flights. You can still go but, like Wonder Woman, they can immediately be there to deal with the crisis and solve it. She is good insurance.

3. Before any crisis, you can have the GCM aka Wonder Woman will do an initial assessment and visit your older relative periodically.This is preventative because Wonder Woman can see and solve the problem before it becomes a health crisis that might put your loved one in the hospital.

Think of a care manager the way you do one of those blow-up beds. You can pump them up when you need in a crisis—perhaps avoid that crisis, and you yourself can sleep more soundly and with more peace of mind in your own bed.

Oh and she sometimes morphs into her alter ego- Superman who can who, as you know ” stands for truth justice and the American way ( and gold standard care ” and is ” faster than a speeding bullet”
Some of the things a geriatric care manager aka Wonder Woman and Superman can do for you are:

1. Save you money by helping keep your parent out of the hospital and you off emergency long-distance flights.

2.Facilitate a family discussion of needs, resources, and division of labor among friends family

3. Recommend ways to proactively prepare and plan for a parent’s possible health care crisis.

4. Work on family cooperation to formulate a realistic parent-care plan.

5.Assess the strengths and weaknesses of all of the potential caregivers

6. Help adult siblings resolve conflicts about care decisions.

7. Help siblings act together in the best interest of the parent

8.Decrease the tension between hometown and long distance siblings

9. Help the long-distance care provider deal with guilt and frustration that may result from their inability to provide more of the day-to-day care.

10.Locate the highest quality aging resources in your aging parents’ area quickly and without you having to do it

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How Can Someone with Dementia Have a Better Quality of Life ?

Reminiscence and Story Telling

Even elders with Alzheimers can find new joy with Reminiscence

What is reminiscence therapy?

Dementia and Reminiscence of 4th of July

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