Helping Your Parents Without Pulling your Hair Out: Hiring a Professional Geriatric Care Manager

Posted ago by Amy Seigel RN

Amy Seigel, RN, CRRN, Certified Case Manager

Amy Seigel, RN Certified Case Manager


By Amy Seigel, RN, CRRN, Certified Case Manager

If you are a long distance caregiver taking care of your parents or other family, a Professional Geriatric Care Manager can be your local eyes and ears for the care of your parent or family member. 

What can a Geriatric Care Manager do for you?  Here is a summary of the typical steps in the geriatric care management process. Hopefully this will help long-distance caregivers to get the most value out of their relationship with a Professional Geriatric Care Manager.

Typically there are four phases when working with a Professional Geriatric Care Manager.
1. ASSESSMENT (Ask them how quickly this can be arranged)
This is where a care manager will really get to know your family member’s history and current status, and start to build a supportive advocacy relationship. You can expect that this will take us approximately 2.0 to 2.5 hours for one person, or 2.5 to 3.5 hrs for a couple, excluding travel time. Ask your Care Manager for a list of issues that will be covered during the assessment.
2. CARE PLAN (Usually within 2-3 business days after the assessment)
Your Professional Geriatric Care Manager should provide you with a formal, written care management plan. The plan is 3-4 typed pages documenting medical history, physicians, meds, dosages, frequencies, caregivers, home safety, memory status, and other areas and preferences.
Most importantly, the geriatric assessment should provide you with a bulleted list of action items – steps they will begin to take immediately to optimize health outcomes and status. This plan is your “snapshot” which you can use as your benchmark and measure progress against stated goals. Your Care Manager should review the care plan with you so that you understand the scope of the work that we will be doing and have an opportunity to clarify any questions at that time.
3. IMPLEMENTATION (Starts right away, higher activity during the first 2-4 weeks)
Your Professional Geriatric Care Manager should get right to work on the action items in the care plan. Every client’s situation is unique, so they will need to will prioritize their activity to get important issues addressed quickly. Their goal in this phase should be to stabilize the situation and help the client to improve their status.
4. CARE MANAGEMENT (Ongoing)
Once things are stable, it’s not over! This is where your Professional Geriatric Care Manager is most important. Perhaps they were consulted due to noticeable changes or a crisis situation. Their role in this ongoing phase is to provide consistent professional oversight to prevent future crises as much as possible. Your Care Manager’s trained eyes and skilled interventions will help optimize health and independence and avert unnecessary ER visits.

We hope that this helps you to better understand how to work with a Professional Geriatric Care Manager in the most optimal and cost effective manner.

About the author: Amy Seigel is owner and Director of the elder care management team at Advocare Elder Care Management, with RN Care Managers in Palm Beach County, Broward County, and Miami.  Ms. Seigel was voted Case Manager of the Year by her peer professionals in the South Florida Case Management Association in January, 2010.  Advocare’s team of professional Nurse Care Managers combine strong medical and psycho-social skills to advocate for elder clients and advise their families.  For more info, visit the Advocare by clicking here:  Advocare Website.

Helping Your Parents Stay Out of the Nursing Home

Posted ago by Marty

For many parents, living at home is the only option they will consider as they age. Of course a time may come when round the clock medical care is required, but until such a time comes, there are many things that can be done to ensure the safety and well being of your aging loved one. A Geriatric Care Manager can be a vital component to an overall care strategy, providing insight on local resources and oversight of care.

Helping your parents stay out of the nursing home

Aging parents and their children sometimes disagree over the issues of safety versus independent living. Here are steps you can take to make your parents’ home safer.

Your parents say they couldn’t bear to lose their independence. Their hearts are set on staying in their own home for the rest of their days. And you understand. It’s what you’d like for them too. But they’re not as young as they used to be. Not as strong and on top of things. And you can’t help wondering if their plan is really wise, or even feasible. So you worry.

The question of what’s best for mom and/or dad is one that bedevils many children with aging parents, says Dr. David Reuben, chief of the geriatrics division in UCLA’s Department of Medicine. “One of the things older people want most is to stay in their own homes. But there’s always a tension between autonomy and safety. Children may want to err on the side of safety, but parents may want to err on the side of autonomy.”

Of course, the time may come when physical or cognitive limitations make independent living impossible. But until then, there are steps you can take to make your parents’ home safer, their lives in it easier — and your concerns about them a little less daunting.

Continue reading from www.latimes.com…

To learn about using our free Care Advisor service for senior home care, and access our Provider Network of licensed, insured agencies, visit us at Advocare.  No fee or contract is necessary to use the services of our Care Advisor.  A Certified Senior Advisor will discuss your care needs, develop a profile of the best candidate, and schedule interviews with potential caregivers from multiple agencies.  Our unique model allows the agencies to compete for your business and helps you choose the best caregiver for the best price.

We help families in South Florida with care management in the Boca Raton, Boynton Beach, Delray Beach and Palm Beach areas.

 

Grumpy Care Receivers

Posted ago by Marty

Having a chronic disease that causes discomfort, pain and loss of independence can make the best of us grumpy and negative. Caring for someone struggling with a chronic condition can definitely take its toll. The following article offers 5 tips to help cheer an ailing loved one, and tactfully steer them towards more pleasant experiences and communications.

Grumpy Care Receivers
5 ways to sweeten a sourpuss

Having a chronic disease can turn even easygoing personalities into Eeyores who are chronically negative and glum. When a loved one’s dark clouds rain on your ability to get things done (or to simply make it through the day cheerfully yourself), try these strategies:

1. Give the grump a little acknowledgment.

Sometimes you can find an opening to turn a bad outlook around by pausing to acknowledge the hurt behind the scowl. Kneel down and look your loved one in the eye. Give a hug or pat a hand and say, “I know you’re having a rough day.” Ask if he or she is scared, or lonely. You might be pooh-poohed, but this small act of understanding gives tacit permission to your loved one to have hard feelings. And that acknowledgment can be a breakthrough to, if not a sunnier side, at least a more pleasantly shaded side.

2. Shake up the status quo.

To change the mood, sometimes it helps to change the scene. If you’ve been indoors all day, go outside (weather permitting) or take a short drive together. If you’ve been sitting, walk around the house together. Change rooms. If you’ve fallen into a routine of boring lunches, make fresh cookies for dessert. If your loved one is still in pajamas at 3 p.m., suggest getting bathed and dressed up. Unfortunately, yes, this approach can require extra effort on your part. But the payoff of an improved atmosphere may well be worth it. Sometimes a shift as simple as doing your daily routine out of order (dessert first! afternoon bath!) can do the trick.

3. Tease or flirt away a challenging moment.

React in a lighthearted way: “Oh, come on, Mr. Sourpuss, let’s see if you still hate me after breakfast.” Or, “Did you join the seven dwarves while you were asleep? I swear I’m sitting here with Grumpy.” Or, “You’re so cute when you get cranky!” Make a joke about a difficult nurse. Obviously you know your loved one best, and what kind of humor he or she might respond to. But a little cajoling can sometimes help the person see his or her mood for what it is.

4. Tune out a bad mood with music.

Continue reading from www.caring.com…

To learn about using our free Care Advisor service for senior home care, and access our Provider Network of licensed, insured agencies, visit us at Advocare.  No fee or contract is necessary to use the services of our Care Advisor.  A Certified Senior Advisor will discuss your care needs, develop a profile of the best candidate, and schedule interviews with potential caregivers from multiple agencies.  Our unique model allows the agencies to compete for your business and helps you choose the best caregiver for the best price.

We help families in South Florida with care management in the Boca Raton, Boynton Beach, Delray Beach and Palm Beach areas.

Caregiving From Afar

Posted ago by Marty

As America ages, millions try to juggle ailing parents’ caregiving needs from afar

Kristy Bryner worries her 80-year-old mom might slip and fall when she picks up the newspaper, or that she’ll get in an accident when she drives to the grocery store. What if she has a medical emergency and no one’s there to help? What if, like her father, her mother slips into a fog of dementia?

Those questions would be hard enough if Bryner’s aging parent lived across town in Portland, Ore., but she is in Kent, Ohio. The stress of caregiving seems magnified by each of the more than 2,000 miles that separate them.

“I feel like I’m being split in half between coasts,” said Bryner, 54. “I wish I knew what to do, but I don’t.”

As lifespans lengthen and the number of seniors rapidly grows, more Americans find themselves in Bryner’s precarious position, struggling to care for an ailing loved one from hundreds or thousands of miles away.

The National Institute on Aging estimates around 7 million Americans are long-distance caregivers. Aside from economic factors that often drive people far from their hometowns, shifting demographics in the country could exacerbate the issue: Over the next four decades, the share of people 65 and older is expected to rapidly expand while the number of people under 20 will roughly hold steady. That means there will be a far smaller share of people between 20 and 64, the age group that most often is faced with caregiving.

“You just want to be in two places at once,” said Kay Branch, who lives in Anchorage, Alaska, but helps coordinate care for her parents in Lakeland, Fla., about 3,800 miles away.

There are no easy answers.

Continue reading from www.washingtonpost.com…

To learn about using our free Care Advisor service for senior home care, and access our Provider Network of licensed, insured agencies, visit us at Advocare.  No fee or contract is necessary to use the services of our Care Advisor.  A Certified Senior Advisor will discuss your care needs, develop a profile of the best candidate, and schedule interviews with potential caregivers from multiple agencies.  Our unique model allows the agencies to compete for your business and helps you choose the best caregiver for the best price.

We help families in South Florida with care management in the Boca Raton, Boynton Beach, Delray Beach and Palm Beach areas.

New Insight Into Aging Brains

Posted ago by Marty

New Insight Into Aging Brains
Study Links 24% of Intelligence Changes Over a Person’s Life to Genetic Factors

Nearly a quarter of the changes often seen in a person’s intelligence level over the course of a lifetime may be due to genes, a proportion never before estimated, new research shows.

The study suggests that genes may partly explain why some people’s brains age better than others, even though environmental factors likely play a greater role over a lifetime.

Understanding the factors behind healthy mental aging has become an increasingly vital one for societies with large elderly populations. However, it isn’t an easy task.

Traditional methods of estimating the influence of genes and the environment on intelligence have largely been limited to comparisons between people who are related, such as identical or fraternal twins. The shortcoming of such studies is they didn’t clearly apportion the effects of each factor on intelligence.

Modern DNA-based techniques are now helping to refine the search.

The new study, published in the journal Nature, offers one of the first estimates of how much genes and the environment contribute to fluctuations in a person’s intelligence between adolescence and old age. It found that genetic differences account for 24% of the variation.

However, the paper didn’t identify any of the myriad genes or environmental factors that might be involved.

“The nature-nurture controversy is never more contentious than when it concerns the genetics of intelligence,” wrote Robert Plomin, a psychologist at King’s College in London, in a commentary accompanying the study, in which Dr. Plomin wasn’t involved.

The Nature paper, he said, “may mark the beginning of the end of this controversy” because it relies on DNA data from unrelated people, which is harder to dispute.

The scientists behind the Nature paper were able to do their analysis thanks to an unusual database maintained in Scotland: records from 1,940 unrelated individuals whose intelligence was measured first at age 11 and then again at age 65, 70 or 79. It is rare for researchers to have access to intelligence data for a group of people from both childhood and old age. The participants also provided blood for DNA analysis.

With these separate pieces of information, the researchers used a new statistical technique to seek out any associations between genes and how intelligence levels might have shifted over the years.

As a first step, the scientists examined half a million genetic markers in the participants’ DNA. These markers, known as single nucleotide polymorphisms, or SNPs, can together reveal how genetically similar people are, even though they are not conventionally related.

The similarity of the SNPs was then compared with other aspects of the individuals’ similarity—in this case, with their cognitive ability in both youth and old age, and how much that had changed over the years.

One finding of this technique, which is known as genome-wide complex-trait analysis, is that many of the same genetic factors seem to explain why people differ in intelligence in childhood and old age.

Another finding is that people tend to retain a similar “rank order” in intelligence level between childhood and old age. In other words, those who had above-average cognitive ability at age 11 also tended to be above average when much older. Still, not everyone showed this kind of stability.

Continue reading HERE…

To learn about using our free Care Advisor service for senior home care, and access our Provider Network of licensed, insured agencies, visit us at Advocare.  No fee or contract is necessary to use the services of our Care Advisor.  A Certified Senior Advisor will discuss your care needs, develop a profile of the best candidate, and schedule interviews with potential caregivers from multiple agencies.  Our unique model allows the agencies to compete for your business and helps you choose the best caregiver for the best price.

We help families in South Florida with care management in the Boca Raton, Boynton Beach, Delray Beach and Palm Beach areas.

Path Is Found for the Spread of Alzheimer’s

Posted ago by Marty

It may be that a significant breakthrough has been made regarding Alzheimer’s research. Read on to learn more. We help families everyday in the South Florida areas of Boca Raton, Boynton Beach, Delray Beach and Palm Beach with geriatric care management and senior home care. Visit us at Advocare to learn more.

Path Is Found for the Spread of Alzheimer’s

Alzheimer’s disease seems to spread like an infection from brain cell to brain cell, two new studies in mice have found. But instead of viruses or bacteria, what is being spread is a distorted protein known as tau.

The surprising finding answers a longstanding question and has immediate implications for developing treatments, researchers said. And they suspect that other degenerative brain diseases like Parkinson’s may spread in a similar way.

Alzheimer’s researchers have long known that dying, tau-filled cells first emerge in a small area of the brain where memories are made and stored. The disease then slowly moves outward to larger areas that involve remembering and reasoning.

But for more than a quarter-century, researchers have been unable to decide between two explanations. One is that the spread may mean that the disease is transmitted from neuron to neuron, perhaps along the paths that nerve cells use to communicate with one another. Or it could simply mean that some brain areas are more resilient than others and resist the disease longer.

The new studies provide an answer. And they indicate it may be possible to bring Alzheimer’s disease to an abrupt halt early on by preventing cell-to-cell transmission, perhaps with an antibody that blocks tau.

Continue reading from www.nytimes.com…

To learn about using our free Care Advisor service for senior home care, and access our Provider Network of licensed, insured agencies, visit us at Advocare.  No fee or contract is necessary to use the services of our Care Advisor.  A Certified Senior Advisor will discuss your care needs, develop a profile of the best candidate, and schedule interviews with potential caregivers from multiple agencies.  Our unique model allows the agencies to compete for your business and helps you choose the best caregiver for the best price.

We help families in South Florida with care management in the Boca Raton, Boynton Beach, Delray Beach and Palm Beach areas.