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Click this link for video: Learn about the most cost effective hospice
LEARN MORE BY CLICKING THE “SHOW MORE” BUTTON BELOW THE VIDEO. Click the youtube url link above. Then look for and click the “show more” tab in the section under. That will bring up the rest of the description that reveals pre screened comments.OTHER HOME CARE AND HOSPICE LINKS HERE
Knowing the management is essential since they set in general on the amount of staff. The owner and administrator also decide how much additional training and education the management provide to the caregivers. Many would be shocked at the minimum required training for most professions and it is the same for caregivers. Few seek out the the new sophomore college quarterback, instead they look for a team leader who is interested and able to work side by side with their team and to train them to be even better every day on or off the health care battelfield. In fact, an administrator is your point guard when it comes to coordinating the staff in the senior care setting. Then they have to describe those new medical or care suggestions to the family and their own teams, and finally assist in implementing the providers or other parties suggestions. That is what we view as the duties of a care team leader and is what we think you need to look for in any care setting you inquire about. That individual could be nurse. We strongly recommend making sure that responsible party is on site and is active day to day with all of the care team including the resident and the residents family. If the leaders do not know the first names of each staff member it is likely that there will be missed opportunities for staff and manager to share small but needed details that could improve physical and emotional health. When you meet the leader who introduces his/her entire care team by name you can start to feel the difference between physical care and continuity of care or more complete care that includes attention to a seniors emotional health needs.HERE ARE TWO EXAMPLES OF CARE SETTINGS WITH STRONG LEADERSHIP ARE SHOWN BELOW:
Tender Loving Care Senior Residence And Tender Loving Care Senior Residence, Costa Brava. Visit to get an idea of what you might be looking for in all care settings when you face this expensive and difficult experience in the last chapter of life for one in your own social system.WE HOPE WE HAVE OFFERED YOU SOME NEW THOUGHTS TO HELP YOU GET NEW IDEAS IN THIS LAST CHAPTER OF LIFE OF A FRIEND AND LOVED ONE:
1-BE SURE TO LIKE THE VIDEO ON YOUTUBE WHEN YOU CLICK THE LINK ABOVE AND WATCH IT. LIKE BUTTON IS ON THE TOP JUST BELOW THE VIDEO. 2-THANK YOU IN ADVANCE FOR SHARING THIS POST BELOW. SEE SHARE LINKS FOR FB, G+, TW BELOW. DR Shawn McGivney.
While all care settings try to differentiate themselves Assisted Living, Home Care, Dementia Care, Alzheimer’s Care, Memory Care, Hospice Care, Residential Care, Elder Care all offer the same thing – CARE!
What varies is the degree of caring you get and feel as both a resident and as a staff member or provider. Both resident and staff feel better if they know each other and have some kind of a progessional or social relatioship. That is why continuity of care and having a relationship is so improtant.
Going further physical care could be described as just doing the task like giving a shower. Caring might be the added small talk about a common event that makes both people share the moment or have a relationship of sorts with the physical care.In fact there is a significant difference between doing the physical task of giving a shower and then giving a shower combined with a friendly discussion of recent events, recent visitors, or activities both care giver and resident have experienced in the day to day life. That later is emotional health and goes a long way to change physical care inot caring and maximize emotional health for both caregiver and resident. We believe this is a small part of starting to explain the power of relationships, the humanism needed for and involved with in care and caring. This distinction applies to “care” in all care settings Assisted Living, Assisted Living Facilities, Home Care, Hospice Care, Medical Care, Dementia Care, Alzheimer’s Care, Memory Care, Elder Care, Respite Care, Hospital Care, Residential Care, and all of the care settings.
Caregiver is a skilled position even if some do not describe it as “less skilled”Insurance companies constantly try to define custodial care as something less, of lower value, lower price than “skilled” care. In fact, people pay more attention to the caregiver than the insurance defined skilled views of the nurse or doctor. the reason for that is trust and continuity of care. When, not just if, something happens in the day to day life of a frail senior who needs assistance the only skills that will matter are the skills of the person the resident can get and that in general is of the caregiver. The caregivers interpersonal skills, compassion, caring are used every minute of every day to provide feeling good, comfort, redirection and to help empower the senior to remain positive, active, productive and feeling good. That in fact is a skill. Call it patience, compassion, good family values, faith in God, but whatever you call it that is indeed what the senior needs and wants. Words and ideals we all value highly Caring is therapy for someone who needs assistance.
What is the “Value” of not getting “care” from the controlling Caregiver? How can a senior who needs assistance really monitor and protect against this? Care Setting and the leadership being hands on, day and and day out, from top levels of ownership down to the caregiver is essential and the only way to provide care with caring? The alternative might meet a physical care need but at what emotional cost. These images of the controling caregiver are firghting to most seniors. Scolding and Control are not caring Controling Staff.Cost to the Senior of a Controlling Caregiver
Patience, interpersonal skills, and familiarity with dealing with a person who is older and has many complex medical issues that are unlikely to resolve is a skill. Unlike dealing with a child where cure is likely and possible in this case cure and getting younger is much less likely. Seniors know that but no one including the senior will say that. It is ego dystonic, to say you want to die or accept getting old even though we all do it every day. God or a higher being can play a role and does increasingly play a role as we get older and more disabled. As humans we need things to believe in and God and the best interpersonal skills you can find are the first line treatments for all that ales you.Emotional health and Feeling is the final expression of all disease.
Patch Adams, in Movie Patch. If you treat the disease you win or loose but if you treat the person you win no matter what the outcome!No matter what the label Alzheimer’s, Chronic Pain, CHF Congestive Heart Failure, Arthritis the end result will be I don’t feel good. Doctor are trained to look only at the physical part but the many levels of social and emotional therapies are often over looked or discounted. Be it due to physical pain, depression, fear of the future all diseases are expressed the same way. You feel bad. Doctors cant describe it, define it, or study it but we all feel it and can understand it. Indeed, your doctor is uniquely positioned to help you balance cost, effect, side effects, incidental social and implementation and even financial consequences of all the physical and emotional or social choices that are available to you. If you were a doctor you would know the physical stuff and if he were you he would know the social stuff but when both of you have a relationship and know each other continuity of care, caring and the best outcome are possible. That outcome is feeling the best you can given your unique, individual, set of physical, social, and financial illnesses. While many try to be “case managers” including elder law attorney, social workers, nurses in fact there are only two real choices you since you are the most aware of your social and emotional health or how you feel and / or “your doctor”. I use the term “your Doctor” going back to a time when continuity of care was the standard. Hopefully this blog and your examples can help others value people in our lives. Some People incorrectly under value those who keep the Family, Social System, and Frail safe. Mothers, Teacher, Doctors Caregivers.
-A mother who works all day to care for the kids and husband and arranges the social system. Not easy, but not values by dollars. -a Teacher who listens, stays after class to help someone who is behind so they are not embarrassed to catch up or get a head. -a care giver who calls and visit when you go to the hospital. or is available to look after your kids and your grandmother because she can it helps the bigger system out. -a doctor or lawyer who goes beyond the standard description to help you understand the system and potential related costs. All of those examples are things that are “not needed”, not valued in dollars, but are often provided to take physical, “less skilled” care to the highest level of care and include caring.Comment to help others see the value of people in their lives. Help us spread the word. Click for Free Ways to help. Click for The Best, Most Cost Effective, Assisted Living and Senior Care Alternatives Dr Shawn McGivney
Mom and Step mom were human. The X- Wife, Susan Sarandon, was jealous of the younger, new wife, Julia Roberts, but in the end when her breast cancer was progressing, the mom, Susan Sarandon, wanted the best for everyone even her X husband, her kids and her rival the Step Mom, Julia Roberts. That is the power of people, caring, and relationships. That power is invaluable and hard to quantify in Dollars. Look for that and you will get the best value for you Senior Care dollars.Saw the movie Safe Harbor and wanted to share my Senior Moment The Safe Harbor is another creative way to show that even when one is dead. The Mother who guided the new wife to help her husband and kids still has value. I see the similar values to families, society and seniors as they age. Images of what was, is and can be continue to be powerful influences to families and society. I know no simple dollar formula for love, hope, trust, feeling needed, wanted, productive and valued. Likewise defining “safety” is hard for most seniors to swallow since the social worker, family, or individual defining “safety” for the senior often times is focused more on financial, legal, or physical safety than on emotional well-being, continuity of care and relationship building. I see families faced with aging, loss as individuals who are aging and families who are losing large parts of who they are. In losing a senior, but in all cases they want to help each other. Seniors know they are aging and they just want to be known, remembered, and to help if they can.
Feelings are the end point of all process. Pain hurts less when you are holding your own new born or a grandchild. The sum of all pains, pills, and Emotional and social therapies including continuity of care and relationship building is part of the treatment. Complex and powerful therapies, and feelings like hope, trust, belief, faith, belonging, parenthood, creation, choice and empowered to choose, take time and social relationships to achieve. Seniors and all of us know helping can mean getting others to provide the care so the Family can visit, email and carry on. Pain and life have large emotional elements that doctors cannot study. Indeed, few studies add in emotional health and wellbeing since you can’t “study” or quantify it and it varies so much person to person and day to day. However, that does not mean we don’t value those things. Indeed, those are the things we buy based on even if we do not know we are.If you want to be “Safe”, have a “Safe Hospital Discharge”, “Safe transition to any Senior Care Setting” look for individuals, people, and care teams with continuity of care.
Sub segmented systems based on business organizational flow sheets and financial payment models pale in comparison to Continuity of Care and Relationship building to make someone feel safe. To feel safe you have to know and trust the individuals who provide the day to day care and who the problem solves or manager are. They have to know your social system and visa a versa. You have to respect what they do and value it also. Then you can hope to feel safer in a process of transitioning to a senior care setting.Aging and even dying are not bad they are expected. What is bad is not having a care setting with caring and a relationship to allow physical care to be transcended to Family-style care we all want.
Two quotes from Patch Adams of the Movie, Patch, that show Caring is more than care.
Treat the most devastating problem of all indifference or apathy.
If you treat the disease you win or lose but if you treat the person you win no matter what the outcome.
To me, even if you die, that is not as much of a loss if they had someone who was there, caring, respecting, all that that person has done and continues to do for the family. That sets a social and family example of valuing people and not just disposing of them which helps each of us in the family, caregivers and all the people surrounding the senior. I care for my dad and he helps me every day by giving me some space to work. Yes, he comes in but he then let’s me finish work and that is helping.
Look for Continuity of care in any care setting Assisted Living, Home Care, Hospice Care, Residential Care, Dementia Care, and Alzheimer’s Care, Memory care, Respite Care, Elder Care, Nursing Home Care and any Senior Care setting. Meet the entire care team and you can find caring with the physical care that all promise you.Help us spread the word. Click for Free Ways to help. Click for The Best, Most Cost Effective, Assisted Living and Senior Care Alternatives. By Shawn McGivney
While assembly line style of care, productivity management, and six sigma standards of efficiency work for inanimate products they are not as good when dealing with a social service like Senior Care. We all need to become more aware of Social and Emotional costs and benefits in choosing a Senior Care setting before we make this expensive choice. Why not get more social and emotional benefit for the same dollar cost that is value.
Life, Social, and Emotional Values VS Simple Dollar Value When faced with the difficult and expensive task of finding a Senior Care Setting.
Choosing a Senior Care Setting for a loved one is a Life Changing event for the entire Multi Generational Family.Facts about this Family Decision. -Financially Expensive -Socially Expensive. -Emotionally Expensive. -Physically Expensive. YOU ARE BUYING A SERVICE AND NOT JUST GETTING A ROOM.
While most people will see that the cost of $3-6K / mo or$36K – 72K / yr is Financially Expensive most will not initially see the Social and Emotional costs to the senior, the grand-kids of the senior and the adult children who often helping make the choice of a senior care setting for the senior.
Do not be misled by a Title. Assisted Living Facility often times is a room and meals with no assistance. While they do offer assistance from the A La Cart Menu their basic services are more accurately Independent Living, a hotel room and a meal plan. The services are often more like hotel services of laundry and room cleaning instead of Family Style, continuity of care, based personal care.
No matter what any one or a brochure says the services are, you do not know what they AND WHO IS DOING THEM, until you meet the entire care team including the Administrator and Owner. Do not forget the Administrator and Owner do run the show even if you do not know them.How the Family sees you, the Adult son or daughter of the senior, do matter in most social settings. That leads to emotional feelings for all generations who will often want to do more. All adult children who are faced with helping a senior make this decision will feel some amounts of guilt that they can’t do more themselves with any choices they make. However, all can feel their best, if they follow one simple rule Meet all of the Direct Care people INCLUDING THE ADMINISTRATOR AND OWNER.
Meeting the entire care team is the only way you can know what services you are getting. The sales lady can’t describe who is providing the services you are getting. The tour of the physical plant or building is such a small part of the SERVICES you need and are contracting for. We believe that many over look the social and emotional costs in favor a quick walk through of the building on a tour. Without meeting the people who will provide the care on a day to day basis you will not really know what you are getting.THE STANDARD OF CARE AND CARING STARTS AT THE TOP.
Do not underestimate the value of meeting the administrator and owner. The management directly affects what the caregiver and medication technicians do day in and day out.The more hands-on the Administrator and Owner are, the more likely they are to value the feelings of the resident, families and their own staff. It is much harder for any human including managers and owners to down size, under staff, do less if they make an agreement themselves in person. When the sales lady promises service she will have no involvement or responsibility for it is likely her promises will mean much less than a promise from the Administrator and Owner who will work side by side with their staff day in and day out. Indeed, most business people will tell you to maximize profits for the business the managers and owners should not know you or the staff. Knowing the staff and families makes it socially harder to under value them. Of course, our goal is not to maximize profits for the institutions but to show Seniors and Families how to get the most caring they can for their private pay dollars. Hand Shakes Have Social Value- Look for Hand Shakes not Paper Contracts when Choosing Services. In general, all people work better, are more involved, when they are socially and emotionally appreciated. That is human nature. Look for that when choosing a senior care setting and you will get the most care and caring for your private pay dollar. Of course, their will always be some financial reality of who each owner and administrator chooses for their staff but our experience is that more hand-s on the management, the more personally involved the management is with their own staff and the seniors and families they care for that leads to the best value for the Senior and their private pay dollars. When choosing Senior Care in all care settings Assisted Living, Home Care, Hospice Care, Dementia Care, Alzheimer’s Care, Memory Care, Hospice Care,Residential Care be sure to meet and shake hands with the entire care team including the top management. If you don’t meet they you can’t access their degree of commitment and sincerity to care vs a more financial only, A la Cart, Model of Care. Help us spread the word. Click for Free Ways to help. Click for The Best, Most Cost Effective, Assisted Living and Senior Care Alternatives. By Shawn McGivney
By Shawn McGivney MD, RFA This article from A Place For Mom is a good general article. We feel it could be more helpful if it provided a little more detail on how to do the 8 things. Just saying “don’t over look future needs” or don’t judge a book by its cover, or choose a community to match your parents needs are just not detailed enough. This discussion of care applies to all care settings Assisted Living, Home Care, Hospice Care, Dementia Care, Alzheimer’s Care, Memory Care, Residential Care. Care is a service and you need to understand you are buying the skills of knowledge but also compassion, dedication, caring, which might be even more important skills than hard medical or nursing skills. Indeed, the social skills are often the therapy for aging, dysphoria, depression, cognitive loss, and promoting people to feel good as they see they need increased levels of care. 8 Mistakes People Make When Choosing Assisted Living http://www.aplaceformom.com/blog/assisted-living-search-top-mistakes-to-avoid-1-22- 13/ We want to share our comments to that with you.Our comments Great article. I think the details are given better at http://tlcsr.com/blog. You need to meet the management, administrator, and care givers. This article seems to come up short of saying that but that is the only way you can see into the middle chapters of this article. Second, Continuity of Care is not mentioned. Shift work, A La Cart billing tend to promote lack of continuity of care and relationships.
Assembly line hallway Efficient Assembly for physical care Third, we agree with don’t go it alone, don’t judge only by proximity, don’t find a place with an isolated private room because you as a younger, non sick, persons would choose that, choose for your parents who need assistance and will need even more assistance and remember it is the staff who provide the caring and care now and in the future. Meet the entire care giving team including the management! We find superficial discussions like this are too general to be really be helpfull and can be misleading if you don’t get these details. When faced with a social and financial decision of this magnitude take the time to meet everyone involved in the care starting at the top. The management does impact the care the staff provide. Socially, you can be respected for finding the most cost effective and best care and set the example for your entire social system. You can save money when compared to the usual course of a bait and switch type A La Cart system where they get you in for the room and meals AND NO, OR MINIMAL CARE OR ASSISTANCE, and then rasise the price to 4, 5, 6K when, not if, you need care. 24K / yr at 2K a month or 48-72 K a year at prices with minimal assistance are worth spending the time to meet the entire care team. Do not think you can or will get the same level or amount of caring you most likely expect unless you meet the entire care team. The management may define care as included in the contract DIFFERENTLY than you do. For example, how many have found out after they bought the insurance that the “support” they purchased had indeed be re sold many times and now was bundled into who knows what, giving you some phone care from another country? Hands on management _ Do not accept management on paper, long distance calls to the corporate office as the main level of management. This is a service and you need to meet, shake hands, and know the direct care managers. If the Aide is the only person you meet and know like in home care then she is the de facto manager, owner, and aide but know that is who and what you are getting. You are most likely still the manager and highest level skill person on your team. You did not add any skilled people, advice, or a back up care team you added an aide and often times at a high dollar cost. Home care is a great option but be sure to consider who the day to day manager is since that is part of your care team. To get these smiles you need to know the entire care giving team. People, Pets and Flowers Can provide Smiles and Caring to go with your Physical Care.
This is a service industry and you need to meet the entire care giving team from top to bottom to really start to compare what you are getting for your 24 – 72K a year.
Take the time to learn all you can you will be socially viewed in the best light and your parents will get the best care and best value for their health care dollars.