Do You Know How to Use Whole Family Approach to End of Life Issues ?

February 10, 2021

Family Working Together as a Unit

The whole family approach is critical with death and dying. Care managers are often engaged to help facilitate the discussions at end of life, and help family members come together to work as a functional unit.

Understanding the differing viewpoints is critical

Knowing what a parent wants and does not want during the last days and hours of life help define and simplify the role of the family. It relieves the family of the burden of having the responsibility of making decisions which may not be what their parents want, and can also avoid family conflicts when adult children may have differing values.” Proactive discussions and legal planning can help to reduce some of the potential conflicts.

Major Family Issues at End of Life

I found myself with a family member dealing with end of life issues. The

issues were: money as the elderly man would need to have 24-hour care to return home to die and where he would return home, as although the son was unsure, everyone agreed that the son’s home where all the grandchildren and great-grandchildren gathered was the best place.

The most important was should the elderly man withdraw dialysis and extreme measures that were not saving his life. He was competent and had chosen this.

Issues Solved by A FamilyMeeting

All, these problems were solved by two things. The man’s physicians helped him understand the dialysis would not save him from dying. Then a family meeting with hospice and his care managed home care agency LivHome the son and his wife, and myself was set up using the whole family approach.

Hospice facilitated the discussion. The end result was to move to the son’s home, with 24-hour care and Hospice, where the entire family, were gathered in and out all day and the old man died a ” Good Death” knowing that his family surrounded him.

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers

In this 1 ½ -hour webinar you will learn how to

1.Transition the patient/family through the five stages of death

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4 Provide family center care to caregiver and family

5 Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7 Use ALCA End of Life Benefits During COVID

8.Use COVID -19 Family Coaching for GCM

Sign Up

Gwendolyn LAZO Harris MA, CT, Seniors at Home, San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter “Palliative Care and End of Life Care Manager ” in my book Care Manager’s Working With the Aging Family

Caregiver Assessment- When The Caregiver Loses Sense of Self

September 22, 2019

One Homeostatic System

When you assess an older client with a family caregiver, you really have two clients. The needs of the family caregiver are different than the needs of the care receiver and the geriatric care manager or aging professional must differentiate those needs to make sure the care receiver’s functional and psychosocial needs are met. The care receiver and the family caregiver are one homeostatic system encompassing the whole aging family. To keep that family healthy and whole, in the middle of swirling care crisis, the care manager must first recognize that there are multiple clients including the person who gives or supervises care. In a health care insult, family members who give care are often referred to by the inanimate wooden term “ resources”. They have also been referred to as “ informants “.

Stripping Caregivers Personhood

This stripping of personhood denudes them of their status as individuals and melts them into the caregivers, thus breeds professional ignorance, like the crowd who watched the emperor with no clothes. We are blind to caregiver’s humanity and thus their own needs.

Seld-Esteem Vanishes With Caregiving

Many family caregivers lose their self-esteem because they fail at so many other parts of their lives when their whole life seems to be taken up by caregiving. They do not get vacations as the care-receiver does not take a break from illness and aging. Often there are few others to give them respite. Caregivers, often they just do not know where to find help or even ask for it. If family caregivers have children and husbands, they are often squeezed between their needs, the needs of the care receiver – thus have no room for their own needs. They are breathless and slogging forward.

Find out more in the YouTube from My Geriatric Care 1 Channel.

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 Do You Create Emotional Quality of Life in Homebound Seniors?

March 7, 2018

Homebound seniors are miserably isolated. AARP has estimated the there are 19.6 million in the US This can be deadly to their quality of life. There is an answer called Virtual Senior Centers. These game-changing idea magically allows 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.

Seniors Center Without Walls, has been around since 2004. Each week, 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.Their winter catalog shows you the 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 enhances their emotional and intellectual quality of life for seniors . 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.

Self Help, a remarkable senior agency for Hollacast victims in New York City, put an extraordinary Virtual Senior Center together by partnering with Microsoft.. They have grown since their beginning to spread to many other cities.. Classes are led by a volunteer, like an opera class lead volunteers from a NYC opera company-.

One of the participants talks about the sense of community they feel, Marie says. “When we see each other, we say, ‘how are you?’ And if someone is missing you wonder if he or she is sick and you find out. We have a nurse who is knowledgeable and whom you can ask health questions when you see her in the class. She connects us with information she’s learned from the Mayo Clinic.”

The Virtual Senior Center really not only opens up the world for homebound senior but enhances their emotional and intellectual quality of life and downright joy in every day

SelfHelp has loaned many VCS participants all-in-one, simplified touchscreen computers with a senior-friendly interface, as well as providing free access to VSC programming and technical support, and internet access. new participants can join from all over the country and check up the website for further information.

If you are a geriatric care manager think of adding a personal assistant program that can enhance not just quality of care but the joy you give through quality of life care.

Starting a GCM Business- Don’t Reinvent the Wheel

April 23, 2014

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Prospective GCMs can and should try to learn from the experiences of others who have been down the path before.

Attend a National Association of Professional Geriatric Care Manager’s national state or regional conference to meet GCMs and talk with them about their practice.

Go to the GCM Web site to find names of nearby GCMs, and then make an appointment to meet with a GCM in person to discuss his or her business experience

lBuy products that help you start a professional geriatric care management business , offered through GCM Products on the Web site You don’t have to reinvent the wheel, but instead use materials that have already been tested in the field and found to be useful

Read books about starting a GCM Business

Hire a GCM consultant who can help measure your market opportunity and do a buiness plan to set up your GCM business

Starting a GCM Business- Don’t Reinvent the Wheel

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