Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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

HOW TO HOLD A FAMILY MEETING WITH A LONG DISTANCE CARE PROVIDERS

December 14, 2015

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Filed Under: Aging Tagged With: adult child family meetings, aging life geriatric care, caregiver family meeting, elder patient advocate, long distance care provider

Red Flag #13 forFamily Meeting- modeling good communication for your kids

October 6, 2013

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What is the added perk for holding an adult sibling family meeting? An extra bonus of family meetings is the acquisition and subsequent demonstration of new tools and skills for the benefit of the next generation of blood, step or half children, helping to ensure that the next generation grows up as an open, loving squad of siblings.

Filed Under: Aging Tagged With: caregiver family meeting, communication skills, family meeting, geriatric care manager, geriatric social worker

Red Flag # 6 for Family Meeting- Gender Bias

September 20, 2013

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Filed Under: Aging Tagged With: caregiver family meeting, family meeting, Gender bias in caregiving, geriatric care manager, women caregivers

Whole Family Approach- Quality of Life

June 22, 2013

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Quality of Life of the older client and important to the involved family caregivers. The care manager can assist families by beginning the dialogue to open discussions on preferences and values of the older client and the family. What would give the older person joy in their life? Would it be art, going to baseball games, being in a knitting group, having a tea for friends at their home with the help of a caregiver?

Quality of Life issues that the care manager should assess are: the individual’s need for social interaction or privacy; value of family; proximity to cultural stimulation; and adaptability to change. These are just some of the many quality of life considerations.

When values and preferences differ between individuals,in the family, it is important to identify how the differences may impact all involved in the process. What if the older person wants an electric scooter so she can shop at Safeway, the store she has used since she was a young mother and wife? At the same time what if the adult son or daughter will only shop at organic, health food markets and wants her mother to shop there. On top of that the daughter feels the electric scooter is unsafe and the aging mother feels she is safe. How do you solve this quality of life dilemma?

 

 

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, assessing for quality of life, Care Managers Working with the Aging Family, caregiver family meeting, case manager, Geriatric Assessment, geriatric care management, geriatric care managers, Handbook of Geraitric Care Management, isolation and quality of life, knitting groups for the elderly, LCSW, Marriage and Family Therapist, midlife sibling, parent care, quality of life assessment, quality of life in retirement, Whole Family Approach, whole family assessment

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