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.

10 Ways Older People Withdraw from Life

Posted ago by Marty

10 Ways Older People Withdraw from Life

One of the greatest challenges in growing old is grappling with tendencies and pressures to withdraw into ever-tighter circles of restricted daily activities. There is no single word or phrase that captures this process, nor is there much research about it. But aging experts agree that withdrawing into an isolated lifestyle is a common practice that can create or worsen physical and emotional problems.

There are, to be sure, some positive reasons for a more limited lifestyle. Downsizing a home, for example, can be a positive experience that helps people get out from under a house that has become too big. Perhaps the home is also filled with possessions and memories that encourage living in the past and not the present.

Moving into a smaller home may be a relief physically. It also can save money. And it may open up opportunities to spend time on new pursuits. In this case, a limiting decision can be a good one.

There can also be inescapable consequences of aging that make it natural to reduce or end activities that have become challenging. Home maintenance, for example, may become physically taxing or even dangerous. Climbing ladders to clean gutters, paint ceilings, or change light fixtures may no longer be a wise thing to do. But in restricting these activities, people are also ending a part of their lives that has included regular trips to the hardware store, the satisfaction of designing and executing home improvement projects, and a range of other socializing activities.

“I would argue that as each of us gets older, we shrink our environment to get better control of it,” says Dr. Eric Tangalos, a professor of medicine at the Mayo Clinic who specializes in Alzheimer’s Disease research and other aging issues. During our lives, he says, our behaviors reflect a shifting balance between the levels of autonomy and risk in our lives and our desire for safety and security.

“To be independent, we have an environment that is more risky,” Tangalos says. “As we age, we move across the spectrum toward one that is safer and more secure. To do this, we usually willingly give up some independence. When we end up not able to manage our affairs we are dependent on others. The equation plays out throughout our life and when we do it right, it is usually a harmonious balance.”

While the desire for control and independence are powerful drivers of behavior, it’s important that they not produce a solitary lifestyle that precludes new experiences, community activities, and interactions with friends and family.

Continue reading from usnews.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.

25 Signs and Symptoms of Alzheimer’s Disease

Posted ago by Marty

25 Signs and Symptoms of Alzheimer’s Disease

Is it Alzheimer’s?

Everyone struggles to come up with a name once in a while. But how can you tell if it’s more serious?

“One symptom alone does not necessarily indicate that a person has Alzheimer’s or dementia,” says Raj C. Shah, MD, of the Rush Memory Clinic at Rush University Medical Center, in Chicago. (Dementia is chronic loss of cognition, usually affecting memory, and Alzheimer’s causes 50% to 80% of dementia cases.)

There are many other causes of memory loss, including vitamin B12 deficiency, and brain, thyroid, kidney, or liver disorders. However, having several other symptoms could be a sign of Alzheimer’s disease (AD). Recognizing the signs of dementia can help lead to a quicker diagnosis.

Memory loss

Serious memory loss and confusion are not a normal part of aging. But forgetfulness caused by stress, anxiety, or depression can be mistaken for dementia, especially in someone who is older.

“We all forget the exact details of a conversation or what someone told us to do, but a person with AD will forget what just happened, what someone just said, or what he or she just said and therefore repeat things over and over again,” says Lisa P. Gwyther, co-author of The Alzheimer’s Action Plan: A Family Guide.

Memory loss isn’t consistent, and people with AD may forget the dog’s name one day and remember it the next. “Nothing is certain or predictable with most dementias except they do progress,” says Gwyther.

Continue reading from health.com…

To learn more about senior home care for Alzheimer’s patients in the St. Louis Park MN and surrounding areas, visit us at http://angelcaremn.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.

When Good Caregivers Snap

Posted ago by Marty

When Good Caregivers Snap
from caring.com

Snapped lately? All family caregivers lose their cool sometimes. Living with an elder is that stressful. Sometimes the target winds up being the hapless coffee shop clerk, and sometimes it’s the person you love best in the world. If outbursts are happening increasingly often, consider them a warning sign to find better ways to channel caregiver anger.

That’s right, channel. Letting it out is actually healthier than keeping it bottled inside, which ups your risk of high blood pressure, depression, and heart disease. Exactly how you choose to release the frustration and tension doesn’t matter (so long as you don’t hurt anybody!). What matters is that you find an outlet — or two or three — to release those unpleasant feelings.

Next time you feel your steam rising, try “taking five” to:

  • Attack a home chore that requires mindless energy, like scouring a sink or chopping veggies.
  • Go off and punch a pillow.
  • Do jumping jacks or pump some hand weights.
  • Scream in the privacy of your car, with the windows rolled up.
  • Engage in deep breathing until you feel calmer.
  • Call a trusted friend who’s agreed to listen without comment in a crisis, and vent.
  • Write out your deep, dark feelings online (in a Word document, not on Facebook!) — and then delete them.
  • Express yourself in an online caregiver chat group, where you’ll have ready and empathetic ears.
  • Talk to yourself in the bathroom mirror, with the door closed so you can’t be heard.

Continue reading from 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.

 

Seniors, doctors should speak freely at check-ups

Posted ago by Marty

Seniors, doctors should speak freely at check-ups
Study finds primary docs don’t ask about falls, depression

An annual check-up should be quality time between older patients and their doctors. It’s a chance for both parties to carefully discuss medications, problems with everyday activities like sleeping or walking, and how to stay healthy.

But a recent study indicates these conversations sometimes aren’t happening during crucial primary care visits. “How Does It Feel?,” a national poll commissioned by The John A. Hartford Foundation, found only 7 percent of seniors surveyed said their primary care doctors had asked them about all seven major indicators of potential health problems among elders.

Among the 1,028 patients age 65 and older polled, only 30 percent said their doctors had asked them if they had taken a fall — which is the No. 1 cause of fatal and non-fatal injuries among older Floridians. And 33 percent said their physicians did not review what pills they were taking.

The study authors said these oversights put older patients at risk of disability or premature death. Yet 69 percent of seniors polled said they were completely satisfied with their primary care provider.

That disconnect shows that seniors need to be more proactive during their check-ups, South Florida health-care experts and physicians say.

Continue reading from www.sun-sentinel.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.

Eating Berries Might Help Preserve Your Memory

Posted ago by Marty

Eating Berries Might Help Preserve Your Memory
Blueberries, strawberries found to prevent mental decline in study of older women

(HealthDay News) — Regular consumption of berries, such as blueberries or strawberries, may help keep your brain functioning well as you age, new research suggests.

The study found that women with the highest intake of berries appeared to delay cognitive aging by up to 2.5 years. Cognition refers to brain activities such as thinking, remembering and reasoning.

“Given that we know that fruits and vegetables are good for our health in general, our findings add to the idea that we should be consuming more, especially berries, as a way to help maintain memory in older ages,” said the study’s lead author, Elizabeth Devore, an instructor in medicine at Brigham and Women’s Hospital and Harvard Medical School, in Boston.

“Berries are a simple dietary intervention that may be helpful to the brain,” Devore added.

Results of the study were published online April 26 in the Annals of Neurology.

Berries and other fruits and vegetables are rich in substances known as flavonoids. Flavonoids help protect the body’s cells from damage and reduce inflammation.

“Flavonoids, which are antioxidants found in berries, apples, citrus fruits, tea, red wine and onions, have been shown to reduce the risk of chronic diseases such as heart disease, diabetes and cancers,” explained nutritionist Nancy Copperman, director of public health initiatives at the North Shore-LIJ Health System in Great Neck, N.Y.

Berries contain a particular flavonoid called anthocyanidin. Devore said anthocyanidin helps give berries their rich colors, and it’s found in fruits such as raspberries, blueberries, strawberries, cherries, elderberries, and red and concord grapes.

Devore explained that one of the things that’s special about anthocyanidins is that they can cross the blood-brain barrier and that these flavonoids tend to locate in the areas of the brain responsible for memory and learning.

Continue reading from healthday.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.