Tag Archives: long distance caregiver

long distance caregiver

Wait – Don’t Get Hit in the Caregiver Crosswalk!

Current American Culture and Aging-Related Issues are often at odds with one another. We see this in a number of obvious and blatant ways, especially in mainstream media with anti-aging products everywhere, ‘active and youthful’ the focus in advertising and young families constantly on the go!

So is it surprising that seniors and the family members who care for them are caught in a “push-and-pull” relationship. A family caregiver may be trying to raise young children or teens while still being responsible to (and many times for) their elders. At the same time a senior does not want to be considered as a burden, effectively slowing down the pace or changing the course of a recently fledged family member or fledgling family.

Therefore the question is often asked, “How much do I need to change my life to accommodate for aging-related issues for myself (as I age) or for someone else?”

Having been family caregivers ourselves, we understand the many anxieties families face when confronting this challenge. As geriatric case managers, we are being told stories endlessly of how families upend their lives to assist loved ones who are aging.

Unfortunately, family caregivers often have the misperception that by living closer to an aging relative they will prevent out-of-home placement for that senior. Moving a senior across town or across the country to live with the family or relocating a family caregiver to move closer to or in with a senior can often appear to be the only option.

The reality is that over the long haul caregivers will be spending more and more of their actual time, physical and emotional energy and money (in outright expenditures and lost wages) by serving their seniors as: appointment schedulers, bookkeepers, transportation providers, Medicare advisers, home repairers, paperwork and record organizers, caregivers, medication managers, housekeepers, medical advocates, activities coordinators and list goes on and on.

Family caregivers, all too often, ‘burnout’ by attempting to take on too much responsibility while struggling to learn just the basics about their new caregiver role. Sadly after drastic changes have been made to the lives of a senior and their family with much strain endured by both, institutional placement out of the senior’s home is still usually the final result. Ask any assisted living placement coordinator, and they will tell you that families often try to go it alone but eventually give up and turn to them in desperation.

Erectile diffusion is a very common source of stress for men as this directly sildenafil buy affects his life and also his partner’s satisfaction and happiness. Drugs – There are many hair loss cures that are on the market today. cialis online generic http://djpaulkom.tv/dj-paul-kom-shake-ft-og-maco/ Although kamagra is available in three different forms of consumption- kamagra tablets, kamagra jelly and kamagra side effects of viagra soft tabs. This pill acts as an enhancer product which concerns about man’s physical, emotional and why not find out more levitra sale sexual needs.

However if the senior and the family discuss a goal of “aging in place” well in advance, it has a much better chance of being realized… and without major disruptions to anyone’s life.

As geriatric case managers, we routinely prevent many of the mis-steps taken by caring families. We work with families to discover and implement better alternatives than moving a senior out of their home to live with the family or a family caregiver moving in with a senior. We believe in Compassionate Aging as the solution for older and younger generations, alike.

© Anthony Antoville 2016

Anthony Antoville, CMC
Anthony Antoville, CMC

Anthony Antoville is Care Manager, Certified and COO of Champion Advocates LLC in Portland, Oregon providing geriatric case management services. Anthony is a published expert on long-term care with Edwin Mellen Press and co-created the Action-Compassion!Technique as an innovative approach to geriatric case management. 

Facebooktwittergoogle_plusredditlinkedinmailFacebooktwittergoogle_plusredditlinkedinmail
google_pluslinkedinmailgoogle_pluslinkedinmail

Caregiving: A National Workforce Crisis in the Making

A study from the National Alliance Caregiving and AARP determined that about half the workforce will be providing some type of eldercare by 2017.

This stunning statistic has been steadily increasing over the past few decades due to increased longevity of people with increasingly significant medical and care needs.

In 2006, the MetLife Mature Market Institute determined that the annual cost to US employers for worker accommodations due to caregiving topped $33 billion. 2  This is a significant chunk for the US economy.

On the individual front, caregivers who need to take time off work, cut hours, change jobs or even stop working entirely can significantly impact their personal income, career goals and lifetime financial health.

Working caregivers who cut hours or change jobs may also lose benefits including company health insurance, potentially affecting their personal health over time.

Unfortunately, my experience as a geriatric case manager in the field reveals that family caregivers often spend time and energy in misdirected actions.

These misdirected actions are often the result of unreasonable expectations, lack of knowledge and expertise and absence of meaningful support. The wasted time and effort negatively affects a large circle including the caregiver, their spouse and family, the employer and work teams, and most importantly the family member who is receiving the care.

The possibility to head off a national crisis begins by addressing the implicit and unreasonable expectation that all responsibilities of care must default to the family caregiver.

The “default to the family caregiver” concept is promoted by government, medical institutions, medical providers, cultural institutions unwilling to fund multifaceted support and members of older generations who have not had the experience of parents with these current longevity issues.

cialis samples online It is produced and developed by using an FDA-approved called Tadalafil. Men, who are click this viagra no rx suffering from lesser sexual erection problems, got magnificent results from this medicine. If the case it the same, you will get the same effect. viagra sildenafil Shilajit is one of the best herbs in 4T Plus capsule improve the secretion of testosterone canadian pharmacies viagra and boosts the health of reproductive organs with the supply of essential nutrients and vitamins along with improved health; you will be able to perform better on bed. It is time to take a closer look at what’s reasonable for caregivers, not by defaulting to expectations of the past, but looking to the future with open eyes.

© Anne Conrad-Antoville 2014

Anne Conrad-Antoville

Anne Conrad-Antoville is CEO of Champion Advocates LLC in Portland, Oregon. She has helped hundreds of families with professional geriatric case management services and other supportive services for seniors. Anne is also President of Working Woman Aging Parents.

 

12012 AARP Fact Sheet – Understanding the Impact of Family Caregiving on Work

2MetLife Mature Market Institute®National Alliance for Caregiving
July 2006The MetLife Caregiving Cost Study:Productivity Losses to U.S. Business

Facebooktwittergoogle_plusredditlinkedinmailFacebooktwittergoogle_plusredditlinkedinmail
google_pluslinkedinmailgoogle_pluslinkedinmail

Self-Driving Cars: A Solution for Aging Drivers

One of the most common concerns I discuss with family caregivers of older adults has to do with driving safety.

Visual deficiencies, slower response time, reduced range of motion in the neck and shoulders and cognitive declines caused by medications, medical conditions and/or various stages of dementia are some of the significant risk factors for senior drivers.

Statistics show us that inexperienced, younger drivers (16-24) are the most prone to be involved in auto collisions and accidents. But, did you know that their experienced older counterparts 75 years old or older rival them in risk?*

Families are struggling with many demands on their time and energy. The rigors of work, maintaining a household, raising children and realizing personal relationships must be kept real beyond a virtual-based existence are already challenging. When we factor in the time needed to take an older family member to medical appointments, trips to a store or social outings to meet friends, we can watch the precious minutes and hours of our day quickly vanish.

Wouldn’t it be amazing to know that the same senior could easily get into a self-driving car and perform those activities on their own or meet someone at a scheduled destination for added assistance?

And, I say “easily” because self-driving cars like some being developed by Google are designed for ease of getting into and out of the car. That freedom would be experienced be everyone involved in that senior’s life.

Nevertheless, it is advisable that they also should visit the female viagra buy unica-web.com doctor to know about proper dosage. cheap cialis for sale It is now hugely well known in the open market. Apart from being used as a treatment for sexual dysfunction this viagra online prescription product is also used as a sexual stimulator. It boosts sex drive and helps tadalafil 5mg online to ensure more blood flow to the reproductive organs during sexual arousal, you can gain harder and fuller erection. A young grandchild who is unable to drive could accompany their grandparent to the grocery store or go out to a movie together. As a family caregiver, you could drive yourself from one part of town to meet your parent who was transported by self-driving car from the opposite side of town to go out to lunch.

Old time friends could stay in touch without waiting outside in the rain for a transport service or having to have a paid caregiver drive them to gather. Instead of scheduling ways around difficult transportation logistics, senior and family members alike can schedule more things to do on their own or together.

*The Hartford: Family Conversations With Older Drivers

© Anthony Antoville 2014

Anthony Antoville, CMC is a geriatric case manager with Champion Advocates LLC in Portland, Oregon. Since 1991, he has been helping seniors and their families address transportation concerns among other eldercare issues.

Facebooktwittergoogle_plusredditlinkedinmailFacebooktwittergoogle_plusredditlinkedinmail
google_pluslinkedinmailgoogle_pluslinkedinmail

Are You Your Parent’s Secret Emergency Plan?

Recently, I received a call from a gentleman in his early eighties, who was caring for his wife with dementia.

He told me, “I’m calling you, because I need an emergency plan if anything happens to me. I need someone who will come in and handle my affairs and my wife’s issues at a moment’s notice. Then my kids, who live in another state, will come and take care of my wife.”

I asked him, if his adult children were aware of this plan he had. No, he hadn’t actually discussed this plan with them, but he was sure it would be fine.

I asked why he thought it was a good plan to wait until an emergency situation to happens, before he could ask for help or let his children know of basic issues in advance. He said bluntly, “Look, I know what I need! I only want someone to be able to come in on a moment’s notice, then my kids will take care of everything.”

This exchange illustrates a common and complex issue that is happening across the country for many families with aging parents. A spouse caring for another spouse who suffers from dementia or another chronic condition will often become fatigued, burned  out and develop their own health problems brought on by stress and overwork, thus putting both elders at risk.

Often, the senior providing care will refuse help or underestimate the amount of help that is actually needed.

The adult children are often kept in the dark, while simultaneously being made part of a secret emergency plan that no one has actually examined. The secret plan is revealed only once the crisis hits, and the adult children are caught in a web of issues that are usually serious, intricate and deteriorating rapidly.

For the family members trying to help, coming in at this stage of the crisis can result in significant stress, significant time commitments and significant financial cost. It can negatively impact employment or business and overwhelm personal relationships.

Waiting to respond until a crisis hits almost always results in substantially reduced options for the aging parents and for the family caregiver. Reacting is never planning!

It seems like many a Los Angeles film school are missing out on a great opportunity – if they provided such one-on-one mentoring programs, there would possibly be a lot more stories of free samples viagra big achievements from their students. It helps to viagra 20mg in india boost sperm count, sperm motility and necrospermia are two of the important causes of male infertility. But at the same time fend off having dose more than dictated by your cheap levitra professional https://pdxcommercial.com/property/516-high-street-oregon-city-oregon-97045/ health expert. On account of an erection which goes on for over 4 hours medical consideration is sales cialis required. So, what is the best way to avoid this type of emergency crisis?

Open up the conversation with your aging parent sooner than later! Chances are, you already have a feeling that something is going wrong.

Ask your parent how things really are with questions that elicit more than simple “yes” or “no” answers. Ask how tired, stressed or overwhelmed is the parent who is providing care? What are the health and household issues? How much time, energy and work can be realistically expected of other family members, if help is needed?

How do you respond to this information and what are the next steps?

As a geriatric case manager, I highly recommend having a family meeting with a geriatric case manager. Geriatric case managers are aging professionals with broad expertise and knowledge. We can perform assessments based on multiple issues and coordinate planning and services to meet goals for the entire family. Best of all, a geriatric case manager can continue to work with the family and the senior over a period of time, providing continual monitoring, oversight, coordination and support as needed.

© Anne Conrad-Antoville 2014

Anne Conrad-Antoville is a geriatric case manager with Champion Advocates LLC in Portland, Oregon. She has spent the past 15 years of her professional career successfully troubleshooting complex issues for seniors and their families.

Facebooktwittergoogle_plusredditlinkedinmailFacebooktwittergoogle_plusredditlinkedinmail
google_pluslinkedinmailgoogle_pluslinkedinmail