Tag Archives: Home Hospice

How are “Care” and “Caring” different in Assisted Living and Senior Care Settings?

How are “Care” and “Caring” different?   Care in Assisted Living might be just the physical act of giving a shower and caring might be something more emotional and personal, that is shared between the two people while that service is provided.  We believe continuity of care and a professional relationship are the main factor that determine how care is appreciated, felt, and perceived by both care givers and residents in all care settings including Assisted Living, Residential Care Homes, Dementia Care, Alzheimer’s Care, Memory Care, Hospice and Home Care.  The care setting does allow or impede how the care is provided.  For example A La Cart Care vs Live in more Family Style care will affect the continuity of care.  However, in the end even the care system can be over come by the individuals providing that direct care and direct patient management and protective supervision. Big, Institution, Nursing Home, or Assisted Living Facility VS Small, Single Family Home    Home VS  Institutional Hall ways ? The physical setting does matter.  A small, private room with a kitchenette is not a home no matter how you phrase it.  A single family home is well known to most seniors and offers all the comforts they are use to.  While a hotel is a flashy place for vacations it is not what a person in need of Assistance really wants or needs.  If a Senior were well enough to dress up in a suit or dress and go out on the town they would not need an Assisted Senior Living Setting.  In fact, people prefer care in a single family home that has many of the senior modifications they need to accommodate their care needs.  Do not just accept the old phrase “home is everywhere you are”  In fact, when you are older you want a home to be steady and not changing and in many case Assisted Living Facilities will force you to change your “home” at least one more time after you move in.  Most are priced out or the level of care increases and they are asked to move to a more or real Assisted Senior Care setting.  Recall a recent post where they said about 1/3 can remain in Assisted Living until they die.  While that sounds good, 2/3 are forced to move again!!  That is more common outcome statistically.  Conversely, family style of care and hands on management all will improve  the quality and intimacy of the care one does receive.  In any care setting Assisted Living, Residential care, Home Care , Nursing Home, Hospice Care, meet the entire care team and especially the management since their interest in direct care, relationship building will most likely be reflected in the importance care givers place on that, personal aspect of the care they offer you.
                                                                                                                      Assembly Line Care VS Family Style, Live in, Continuity of Care models of care VS Assembly line, A La Cart Care On a highly scheduled Basis VS Individualized, Family Style,  Live in Care, Like Mom provides her kids. Are “Care” vs “caring” the same thing?  What is the difference?  Is care provided in an assembly line style, that does the physical care tasks, the same as Family Style, more live in care, where the staff live and work with the senior day in and day out the same?  Is the “caring” that comes with the care different depending on the style or system in which the care is provided?   Care and Caring  require the senior and caregiver know each other and have continuity of care and a professional relationship.  Which do you want?  Which system of care  Assembly line, like you see in a Big Facility, Nursing Home, or Institution, or a more family-style, live in care system provides a Higher Quality of care?  Everyone says we offer High Quality of Care but it is up to each senior and their family to meet the entire care giving team before they make their choice of a senior care setting. The choice of a Big,Less personal Institution or Facility over a small, single family home and a choice between  more assembly line care or a more live in, continuous style of care, complete with the most continuity of care you can get,  is often difficult since many times, especially in the Big Institution or Facility you never meet the direct care staff and management  that you are hiring.   You often times meet the sales lady but may not really meet the people you are hiring the care team from the administration down to the care givers.   Many people see the nice sofa and then Assume the care.  They assume the name “Assisted” Living Facility means you get the type of Assistance most of us would want.  In fact, that often times is a bad assumption.    The choices of the type of physical building ( Big, studio room, or Institution) VS ( smaller, single family home with a private room)  and the system of care ( Assembly line Vs Live in, Family Like)  do affect  how the care is perceived after they sign up. Delegated Care Management VS more hands on Care and interaction of management with all staff, residents and families. Another major factor in  distinguishing Care, Caring, and Continuity of Care is that Care in any setting is heavily influenced by the management.  If the management knows you, the senior and the family, it is much harder for them to skimp on the care and caring.  When care is impersonal it is easier to decide to make more money and provide less care, hire fewer staff, and maximize the Institutional Bottom line.  Everyone has a bottom line, but if the management, owner, and caregivers all know you the client you are likely to get the best over all value including caring and continuity of care. Assisted Living, Home Care, Hospice Care, Dementia Care By Kerry Mcgivney Thanks for reading this post .  If you liked this post please help us by sharing the message of Care, Caring, and Continuity of Care by liking, friending, and following our works on Facebook     (tlcsr.kerrymcgivney), Twitter ( TLCSRLasVegas), Youtube (TLCSRLV),  Joining our Email List and this Blog, and sending this to any sons, daughters, or seniors you know. Here are links to make it easy! Like Our FaceBook Page: Friend Us On FaceBook: Follow us on Twitter: Like our videos on Youtube: Join our Free Blog and Email List: Contact: Shawn McGivney MD, RFA [email protected] www.tlcsr.com www.tlcsr.com/blog/

Discussion of “The Importance of Assisted Living” 10/19/12

 “The importance of Assisted Living” Article that ran in wakeupnv.com.

While their message appears clear we feel that the meaning of some of the words can be misleading to many who might define the words differently.  When some one says “Available” you assume it is always and easily available.  Most people assume it is what you need and want.  However, the amount, type and degree of assistance available in many Assisted Living Facilities and any Senior Care Setting might not be as “Available” as the sales lady, the marketer, would indicate.  All care settings say we have caregivers, we have an administrator, we have doctors who come in, etc.  Few introduce you to the direct care team so you can decide how motivated they appear to spend time with you.    We use “Available”  and other key words in the article to spur discussion and review for each reader to consider what the author may mean  and the care setting might mean when they use words. Continuity of care and knowing who is providing the direct care at all levels is essential.  Who is Available?  When, where, and for how long?  Do they stay with you through thick and thin?  Visit you when you are out of your home or Assisted Living small studio room  in a hospital.

Review and Comment on the Article The Importance of Assisted Living Posted July 6th, 2012 by Joseph Stevenson.   INTRODUCTION              

This article is an example of a sales type of publication for Assisted Living Facilities.  While it does provide some general comments on Assisted Living, many of the words and ideas may be miss interpreted by those looking for Assisted Care, Assistance and personal care.   The goal of this discussion is to bring attention to some ideas, phrases, and words that might be miss interpreted by many readers.  Clarifying these words will help the reader better understand what they want and need in a care setting. This exercise will help to raise awareness to the interpersonal, people, part of assistance and care.   While it is hard to describe people, feelings, caring, character and responsibility, it is very important to strongly consider these things, instead of focusing on the physical plant, or the hotel style “service” of doing your laundry out and housekeeping.  Look not only at the care you want today but also at the care you will increasingly need in the future before you choose a low care alternative today.  Choosing a care setting with more care today will help you feel your best today and will improve the continuity of care and care you receive for the rest of your life.    If you choose the lower continuity of care options today it is likely you will be forced to accept less care when you need it in the future or to move at a time when you are less able to adapt to the changed care setting. We have re- written each paragraph of the Assisted living Article word for word and followed it with our comments on what is stated in the paragraph.

The Article The Importance of Assisted Living   Original article text in bold     Our comments- non bold, italics Assisted Living can always be viewed as the finest that can be offered by the two worlds.

What are the two worlds he is talking about in line one?  It is implied in this statement that all of ones’ care needs can be met in an Assisted Living Facility.  Of course, maintaining independence is the “best world”, no matter what the setting.   Unfortunately, when most people consider Assisted Living they are already in need of some amount “care” or assistance.  The reality is that as you age, your care needs and the amount of assistance you need to function will increase.  Which is why, it is not the structural facility that is truly important, but it is the system of caregiving and coordination of care that is offered at a facility that is the most crucial factor.   It is the ease and reliability of receiving care you need when it is needed.

 These communities grant their residents with the independence they require with the knowledge that care services as well as person care availed to them anytime they require them.  These communities are aimed at offering the inhabitants with assistance in doing their basic activities.

This, in fact, is not entirely true.  Generally, Assisted Living facilities are geared to independent people who want a hotel type environment and have very minimal care needs.  They offer levels of extra assistance for personal care, like bathing and dressing, at an extra cost and the assistance needs to be scheduled or planned for in advance.  After the scheduled assistance is provided, the resident is largely on their own.   If you need help in-between the scheduled times, you have to be able to go somewhere and ask for help. Even then you might not get the help you need right away. There may not be someone available to assist you at the time you need them.   If you are independent enough to search someone out to assist you, then you probably do not have a high need for personal care.  For people who do have a need for assistance with personal care, then it would be much more difficult to search someone out and actually receive the assisted care you need.  For example, a resident with incontinence ideally would require a under garment or brief change every 2 to 3 hours to prevent skin breakdown and infections.  This type of personal care assistance is difficult to schedule in advance and can become very expensive as the number of interactions and assistance with personal care increase.    Often when people move in they are largely independent and is not until the need for more personal care arises, that they can actually see what is available, from whom, and when. It is very difficult to know in advance when you will need assistance.   Residential Care Homes offer an alternative type of care and setting in which the service and personal care is offered in more of a family like/home setting with assistance and supervision 24 hrs. a day, on an as needed basis.  The care is more of a friend or mother standing by type of care wince the building is smaller and the staff is constantly around the residents.  This is what we call Family-Style care.   The cost of residential care homes are usually inclusive of all services and care provided.   Assisted Living Facilities tend to offer A La Cart Care, at an additional price, where the care is provided according to the pre -arranged schedule.

These activities include dressing, grooming and bathing.  Other states also let these communities to provide medication assistance.  Here, complex medical services are not provided.  This distinguishes them from majority of the nursing homes.

Some Assisted Living Facilities do provide a basic level of medication management at an extra cost, with only one or two trained and certified medication techs.  In general, residents go to the medication room to get mediations so that the one med tech is in the med room in case someone wants an as needed medication. At times Medications are dispensed at meal times.  When the one Med Tech goes out to find a resident in the big facility the medication room is often times left unstaffed making it hard for the other residents to get medications.   With only one or two med techs for 50 to 100 residents, it may be difficult to locate the med tech when you need them.  Consider the size and complexity of the building, the number of floors and wings of the building. It can be a very large area to cover when looking for someone.  For more independent people that system works fine, but as you need more help that service might be harder for disabled, older, persons to utilize.  In residential Care homes, usually all of the caregivers are trained to give medications.  With fewer total residents, it is easy to see that access to the med tech and getting your medications is likely to be easier especially if you are not totally independent and unable to hunt down the med tech.

They always range from stand-alone homes to being one level of support center.  The environment is made to be attractive to both the potential clients and their people.  A friendly and home-like environment is normally availed.  The apartment elegance typically included a studio and one bedroom designs.

Assisted Living Facilities are not stand alone homes.   They usually offer studio or 1 bedroom apartments in an enormous building with 50 to 150 residents.  This does provide highly functional, independent residents with the privacy accorded with ones’ own living space.  On the other hand, it also may contribute to isolation and loneliness for residents who are not as independent and functional.  In contrast, Residential Care Homes provide care in a residential home that has a real family like feel, where there can be a higher level of supervision and interaction.  The staff or caregivers are usually trained in many disciplines, including medication management.  Also, the ratio of administrators, med techs and caregivers to residents is much higher in Residential Care Homes which means it is likely will have better access to the more skilled people in the care team.  For Example, if there is one administrator overseeing  50-150 residents in a large, multi-floor Assisted Living Facility, Compared to one administrator for 10 or fewer residents in a smaller Residential Care Home it is more likely the administrator in the smaller  Residential Care Home will know your name and see you on a regular basis.   The interaction and contact with the administrator is important because the administrator is the boss, the person responsible for coordinating the staff and ensuring the staff are trained to provide the care.  With a smaller resident to administrator/staff ratio the administrator is more likely to have hands on approach which leads to better continuity of care and personal interaction from the administrator and the staff they train or supervise.

A number of the clients to these communities are the old with chronic health issues.  This is why they are in dire need of assistance.  When they are assisted in preforming their daily activities, they are left with minimum responsibilities to do.

As stated earlier, Assisted Living Facilities are geared to more independent seniors, offering minimal assistance with personal care at an extra cost.  Often Assisted Living facilities are not set up provided higher levels of assistance that one may need as their chronic health issues worsen. Assisted living often has a limited staff of 2-3 caregivers serving 50 or more residents.  Covering such a large building, often with two floors and different wings, is a significant task to supervise.  In order for 3 caregivers to provide assistance to 50 residents, each care giver must assist approximately 16 residents.  Therefore, the caregivers have limited time to spend with each resident and are put on a tight schedule to meet the scheduled tasks.   Unfortunately, caregivers may just complete the task of a shower or dressing,   to save time and stay on schedule.   In many cases, it would be a bigger benefit for the resident if the caregivers encouraged  the residents to do  the things they are able to for themselves, even if it takes longer  like  buttoning there shirt.   Most seniors prefer to do it themselves and they take as long as need to do it.  The residents usually don’t have a high need to do it quickly.  The senior has all day and wants to fill the day up with productive things like doing their own personal care.  It is easy to see why staff /caregivers need to go quickly, but for seniors may feel more empowered, more in control, if the caregiver had taken he time to let the resident do more for themselves.The notion of providing assistance with daily activities for a resident and thus, leaving them minimal responsibility for their own care causes pause.   It is during this time of increasing need and decreasing function that senior residents want to maintain as much control over their own care and do as much care as they can for themselves.  If they want assistance they want to ask for and direct it.  It is important for caregivers to encourage seniors to participate in their own care, even if it takes them longer.  Allowing seniors to remain in control and participate in their own care might be a better goal than doing the task for them to save on time and stay on schedule.Clearly seniors want the responsibility and suggesting it is somehow better to take the responsibility away from them is somewhat concerning for this writer.

In such kind of places, meal provision are offered at least three times a day.  Housekeeping and laundry are also done for the clients.  Some provide swimming pool, fitness center, post office, beauty salon as well as transportation.  Others organize events, trips and activities that the dwellers can participate in.

Meal preparation, Housekeeping and Laundry services are hotel style services and are not what most consider as “care”. We believe that “care” and “Assistance” are highly interpersonal, people related services, and are quite different from the less personal housekeeping and Laundry Services.

Assisted living should let the inhabitants gracefully grow old.  This is so since the necessary support is easily accessible or if not, they have the responsibility of contacting other care offering agencies. This keeps the inhabitants in the society as the level of support rises.  The additional payment is thus paid on top of the regular monthly rent.

The important thing to note here is that in an assisted living environment, it may be difficult to grow old gracefully if you have medical problems or chronic conditions.  Be wary of places that outsource care to other agencies or say “if we can’t do it, we can get an outside agency to offer the care you need.”   This is an enormous additional cost to the resident.  In addition, delegating the responsibility of providing care does not support the idea of continuity of care. Personal commitment and responsibility of Facility and Residential Care Home owners, administrator and staff is essential to a frail aging senior with many medical problems.

When looking for Henderson Assisted Living make sure you check out our reviews of the best nursing homes. Posted in Health Tagged alzheimers, assisted living, health, las vegas alzheimers’s care, las vegas assisted living, las vegas memory care, memory care  Leave a reply. Summary

In Sum, when considering an alternate care setting, like Assisted Living, there are many factors to consider.   It is important to follow the Golden Rule, meet the people who will do the direct care.  Assess how confident you are that the owners, administrator, med techs and staff want to do the work and provide the care.    Just because the sales lady said the staff will do the work does not make it true.  If the caregiver, administrator, doctor are easily accessible and take the time have discussions with you before you move in, it is a good indicator they are more personally invested providing the care and assistance.  If it is hard to meet and speak to all the people in the care team before you move in, it is likely it will be difficult to speak to these people when the need arises.  We believe commitments made by the individual are generally honored more than commitments of your time and efforts made by a sales lady on your behalf.  Meet the individuals who provide the direct care including administrator, med techs, caregivers, owner and others. One blog post and discussion will not answer all the questions.  We encourage you to comment on the ideas brought forward here, to help us continue to educate our communities on topics important to seniors and their families.   Our Golden Rule applies to bloggers too.  Thanks for your comments and help Please comment on this article so we can incorporate your comments to our review coming in a few wks. Read the article below.



The thought process and clarification of what one means when they say Care or Assistance applies in all Senior Care Settings – Assisted Living, Hospital, Nursing Home, Home Care, Elder Care, Senior Care, Senior Living, Respite Care, Alzheimer’s Care, Dementia Care, Memory Care, Hospice Care and any others you want to list.

Thanks for reading this post .  If you liked this post please help us by sharing the message of Care, Caring, and Continuity of Care by likeing, friending, and following our works on Facebook     (tlcsr.kerrymcgivney), Twitter ( TLCSRLasVegas), Youtube (TLCSRLV),  Joining our Email List and this Blog, and sending this to any sons, daughters, or seniors you know. Here are links to make it easy! Like Our FaceBook Page: Friend Us On FaceBook: Follow us on Twitter: Like our videos on Youtube: Join our Free Blog and Email List: Contact: Shawn McGivney MD, RFA [email protected] www.tlcsr.com www.tlcsr.com/blog/

Flexibility and Continuity of Care Required for the “Best Care” in Any Setting 08 21 12

Flexibility – ability to accommodate changes in care needs.  08 21 12

When choosing a care setting you need to consider the fact that your care needs will likely change many times over the next several years.   You will get sick and recover with a net outcome of progressive aging.  Aging, unfortunately is progressive.   We do what we can to reduce it and to maximize quality of life as we start to need assistance but we often lose sight of the role of the direct care team as a big part of providing the quality of life, continuity of care and flexibility in care options.   What you need to look for is a care setting that can accommodate your needs now when you are relatively well with caregivers and staff who can interact with you as friends, family members and well known persons.

                                          

If you have a care giver that sees you just a few minutes a day or once a week for a shower they are not really interacting with you on a continuous basis and they will be less likely to sit and talk with you about day to day events. If the caregivers know you, know who visited, called, emailed you over the last few days you can see that all the direct physical care they offer will come with a much higher degree of compassion, trust, and understanding and social interaction since the care giver can remind you of those visits that make you smile so much.  When you choose a care setting look for one with caregivers who can be part of the resident’s life, care, now when you are at a higher level of function and as the care needs evolve. Flexibility is part of continuity of care.  There is overlap in these terms.  When you are choosing a care setting because you feel you are starting to need some back up people around to help consider the staff and how they interact with the senior in addition to looking for other seniors, peers, as the main source of social integration.  If the senior can’t initiate and maintain their own social calendar in their own home it is likely they will have some difficulty meeting, friending and then relying on others frail seniors to be their friends.  Having friends and peers is needed but also consider the possibility of having staff who are more like friends, more interactive, as part of the social system.  Having that type of staff when you are well initially and as you need more help can drastically improve communication, sense of quality of care, for the resident and families who are not able to be there day in and day out.  If you under value this aspect of care when you need minimal assistance and you value having other frail senior as the main social system that system has a high degree of failing and leading to stress.   You need both highly interactive staff you can rely on and who can adapt and adjust to whatever your level of social needs are as well as other seniors or peers who you can interact with in structured activities.

      

If you, the family, are planning to be the main caregiver, social support person, you might consider keeping them at home since it will be easier for you to be there day in and day out.  However, if providing direct care to a parent is becoming to stress full to your own family life you might consider looking for a consistent, live in, or more integrated staff to allow flexibility in social, emotional, and physical care as those needs change over the next few years.  Otherwise,  expect to be faced with finding a new, higher level of care, every 6 months as the care needs evolved.  Also expect frequent calls since while you hope the other frail seniors and your parent will “just find a social connection and shared activities” that most likely will happen at a limited level.  Then they will continue to rely on you as a main social and management  system.  That is why it is so important to meet the owner and administrator and management team of what every care option you choose.  Assisted living, out patient home care WHERE THE DOCTOR, YOUR DOCTOR, is the team leader.  If you are relying on the CNA to be the team leader it is likely her very limited medical training will have many large gaps in the care plan.  She may not know what the medications are, what side effects there are, how to get them, how to deal with insurances, or how to deal with the complex system of specialist doctors.  Moreover, the owner of the home care company is likely just a staffing person with limited medical or case management skills as well.   While Home Care sounds appealing since they have the word home in the title in fact that is only 1/2 of the continuity of care.  The other half is for the skill people the Doctor, Administrator, and more medical skill people.    Family is always important but finding a flexible staff who can work with the family to bridge that social gap is a part of flexibility in care.   Having the caregiver, the doctor or Administrative staff allows the family to be family and to focus on what they do best be family.    Most care setting claim they can provide many levels of care however, you need to look very closely at the care system from top administrator and owners down to the direct care givers and med tech’s so you can compare which systems are likely to offer the greatest flexibility and continuity of care as the social, emotional and physical care needs change with aging. Flexibility and continuity of care are required eliments of care in any “care” settings — Assisted Living, where Assisted is a synonym for Care, Home Care, Hospice Care, Dementia Care, Alzheimer’s Care, Memory Care, Respite Care, Residential Care, Nursing Home Care or any other care setting.By Shawn McGivney MD, RFA

Thanks for reading this post .  If you liked this post please help us by sharing the message of Care, Caring, and Continuity of Care by likeing, friending, and following our works on Facebook     (tlcsr.kerrymcgivney), Twitter ( TLCSRLasVegas), Youtube (TLCSRLV),  Joining our Email List and this Blog, and sending this to any sons, daughters, or seniors you know. Here are links to make it easy! Like Our FaceBook Page: Friend Us On FaceBook: Follow us on Twitter: Like our videos on Youtube: Join our Free Blog and Email List: Contact: Shawn McGivney MD, RFA [email protected] www.tlcsr.com www.tlcsr.com/blog/

What is a Case Manager?

What is a Case Manager? Our first task is to help all of us define what a case manager is? We need all to comment on what they think a case manager is. Then we will summarize how we define it. We want to make this an interactive learning process so please comment!! – Sample things to consider? What type of “case managers” have you heardof? What settings have you heard that term used? What special licensing have you heard associated with “case managers” Separate from licensing what actual skills do you think a case manager needs? What does or could a case manager do for you? Doctor, or  Nurse, Or Social Worker, Or Hospital employee, or… There is no job, or single training the clearly is better than any other   What you need is a high amount of training and active practice in all of the above areas in all care settings, hospital, rehab out patient and the many types of inpatient rehab, Assisted Care settings, Home Care, Private Case management, all of the allied care settings, cosmetic and less medical but widely used and needed care, emotional health out patient and inpatient, and many others.  Add in specialization in chronic illness and Geriatrics.  Needless to say few people have that training.  I consider myself fortunate to have most of those care experiences.  While most nurses are not doctors I have done a lot of direct nursing care and care giving while caring for my own parents.  I do hands on care with residents all the time.  I have had patients say don’t help me with that you are the Doctor. In the end every one is a doctor and every one is a patient, like patch Adams says we all help each other doing what we can, even listening is a job.   Case manager is a term with no definition, no expectations, since we know of know standard for that term. Many will claim to be case managers.  There are two main kinds.  Those that manage your case but work for the hospital ,  institution, Assisted Living Facility, Home Care, Hospice Care businesses and those that you pay with your private dollars.  Of course, I am very biased as a Geriatric Specialist who has worked in all long term care settings, has worked in private case management not as the person who asked the doctor what to do but as the doctor who knows what is needed and what is cost effective.  My view is very biased.  Indeed, I recall many times when a private pay case manager called me and suggested something that had no medical benefit.  I did see the benefit to her in that she most likely needed to show her clients she was worth the $250 per hour she was being paid.  Needless to say I did not feel her comments were needed.  I do also have to say that case managers often times do know more about private pay home care and many outpatient services that most doctors have never heard of and if that is the comparison then they can help.  Either Case manager or Doctor Case manager if the person does not do some direct care, spend physical time with the senior, their family and the care giver staff the benefit of their knowledge and skills are reduced significantly.  Continuity of Care is good Care, the Best Care.   The golden rule applies again.  Meet the entire care team you are getting from the top management, the doctor, administrator, middle skill people the nurses and other professionals and then the caregivers.  The people provide the care.  You need a doctor or team leader who knows the patient but also all of the staff since continuity of care requires a team approach.  That is a team approach in practice and not only on paper. By Shawn McGivney MD, RFA Thanks for reading this post .  If you liked this post please help us by sharing the message of Care, Caring, and Continuity of Care by likeing, friending, and following our works on Facebook     (tlcsr.kerrymcgivney), Twitter ( TLCSRLasVegas), Youtube (TLCSRLV),  Joining our Email List and this Blog, and sending this to any sons, daughters, or seniors you know. Here are links to make it easy! Like Our FaceBook Page: Friend Us On FaceBook: Follow us on Twitter: Like our videos on Youtube: Join our Free Blog and Email List:   Contact: Shawn McGivney MD, RFA [email protected] www.tlcsr.com www.tlcsr.com/blog/    

Continuity of Care – power point presentation 08 06 12 must read.

Continuity of care (08 06 12)

I just read a good power point pdf by Dr James Birch MD, MSPH and wanted to share it with all of you. http://www2.kumc.edu/coa/Education/AMED900/CONTINUITY%20OF%20CARE.pdf It is a 60 page power point slide presentation and reads just like you are turning pages. He has many great statistics to confirm that continuity of care improves out comes especially for seniors with many complex medical issues. As Senior Care advocate those reading this blog will be part of the plan to remedy the loss of continuity of care seen in the doctor related medical community.  Indeed, much of the continuity of care that use to be done by the residents doctor now falls to Administrators, care givers and those providing protective supervision to residents who need varied amounts of “assistance”.    Care setting directors need to maintain close contact with the wide range of sub specialized medical providers to ensure that medical information and orders are carried out on behalf of the residents they are providing protective supervision to.  Indeed, the PCP,  might not know what the sub specialist said or ordered on the residents last visit,  so we need to remain in contact with all medical providers on behalf of those we provide protective supervision to. Finding, care settings that have a higher level of administrator and owner continuity of care can be a way families help bridge the growing loss in continuity of care seen within the health care system in general.  We would like to work with providers to help build a directory that lists care settings and includes continuity of care with administrators, owners, other professionals, caregivers and others.   Some of the variables we might compare are Administrator / resident ratio, hours of direct resident contact each month with the administrator or owner, consistency of staff providing care to any individual resident and other variables bloggers might suggest.  We want to help people see the value of continuity of care that Dr James Birch MD, MSPH illustrated in his presentation.

Thanks for reading this post .  If you liked this post please help us by sharing the message of Care, Caring, and Continuity of Care by likeing, friending, and following our works on Facebook     (tlcsr.kerrymcgivney), Twitter ( TLCSRLasVegas), Youtube (TLCSRLV),  Joining our Email List and this Blog, and sending this to any sons, daughters, or seniors you know. Here are links to make it easy!

Like Our FaceBook Page: Friend Us On FaceBook: Follow us on Twitter: Like our videos on Youtube: Join our Free Blog and Email List: Contact: Shawn McGivney MD, RFA [email protected] www.tlcsr.com www.tlcsr.com/blog/