Caregiver Burnout « The Professional Geriatric Care Manager’s Blog

Planning Ahead for Elder Care

December 31, 2010 at 12:00 pm | Posted in Pat Linard, PR | Leave a comment
Tags: Aging, Caregiver, Caregiver Burnout, GCM, Prevention, Support, Tips

My phone has been ringing over the holidays. I’ve gotten those treasured calls from family, of course. And I’ve gotten a lot of phone calls from friends that moved away from New Jersey where I live and from friends in Pennsylvania where I used to live. And then I’ve gotten few phone calls from friends who know that I work in geriatric care management. Those calls aren’t the ones I like to receive quite as much.

As I mentioned in an earlier blog, my friend in Kentucky is trying to arrange for geriatric care for her elderly parents in Florida. My other call was from a neighbor whose friend had a sudden fall on Christmas Eve and is now in the hospital. She also called me a few days earlier because this same friend is scheduled for heart valve replacement surgery in January. She wanted some advice on how to make her rehabilitation an easy one.

I am always happy to give some advice in these situations. What was especially pleasing is that my neighbor was helping her friend plan for her surgery. Things go so much better with a care plan. So many people think that they must only go to the nursing home and rehabilitation center that the hospital recommends after surgery. Quite often that is a good recommendation but not always. It helps to do some research to make sure you find the best quality of care in an environment that suits you best. It is news to many people that these facilities can be toured in advance. Of course, availability could be a problem so it is wise to have a back-up or two.

She was also checking into whether her friend had her legal documents in order. A will is the first thing people think of but with a hospital stay, an Advance Directive or Durable Healthcare Power of Attorney becomes even more important. That is the document that provides a way for you to convey end-of-life care decisions ahead of time. Our favorite at Distinctive Care Geriatric Care Management in Ridgewood, New Jersey is the Five Wishes. It is a legal document that is accepted in most states. You can find the form at www.agingwithdignity.org. I am hoping this document will not be needed in the Bergen County hospital where she is now, but it is wise to think ahead.

My neighbor was also thinking of things like laundry and food for her friend. Her friend was doing many of the things that we, at Distinctive Care, would do as geriatric care managers. Of course, we can also provide the extra care that a friend cannot—expert nursing skills, training in dementia care, 24/7 emergency care, and experience in dealing with crisis situations. But she was planning with knowledge and forethought and that is what we realize at Distinctive Care can be key to a good outcome and a good recovery.

3 Important Caregiver Tips

August 7, 2009 at 10:00 am | Posted in Sophia Heftler, GCM | 1 Comment
Tags: Caregiver Burnout, Caregiving, Tips

The following article is from an organization called Women & Co. I found the tips to be very useful and would benefit all of our caregivers out there. Please read on…

3 Tips for Improving Your Role as a Caregiver

Article by Margery Pabst: Many of us will assume the role of caregiver at some point in our lives, and the experience can derail our emotional, physical, and financial well-being. According to the Family Caregiver Alliance, currently one in eight persons, 65% of them women, are caregivers in the United States.* This statistic is also increasing as families bring loved ones home from care facilities—the result of current economic pressures. A caregiver is commonly defined as one who provides at least twenty hours of free care per week.Taking care of ourselves and taking some positive steps while caring for a loved one can result in a more empowered place for personal well-being and effectiveness. Whether you are currently in a caregiving role or leading a life that is filled with general caring responsibilities for others, consider these three tips for improving your role as a caregiver.

Tip #1 – Express Your Feelings
Keep in touch with your emotional self as you care for others and communicate those feelings directly and dispassionately. Female caregivers often report that they encourage members of their family to share feelings while they keep their own emotions to themselves. It’s common to stifle your feelings and focus only on the needs and emotions of your family. However, expressing your fears, doubts, and needs to the patient, family, and friends is the first step to your own wellbeing.

To better express yourself you can:

•	Use statements like, “I am scared about the future,” or “I feel so much pressure,” or “I am concerned about making a mistake with the medication.” Your open acknowledgement will encourage others to be honest and forthright.
•	Encourage the patient and family members to express honest feelings and concerns. Once out in the open, mutual concerns can be addressed.

The result? Problems are not allowed to fester, caregiving is more efficient, extra expenses are not incurred, and you may be relieved from needless stress.

Tip #2 – Face Conflicts Head-On
Identifying problems early and dealing with them directly is a good plan. A family conflict can cost you heartache, productivity, and money. For example, a typical family conflict often involves not only what treatments are important but also how much money needs to be spent. One sibling focuses on money being spent while another wants only the best treatment for a parent. If everyone shares concerns and seeks to find common areas of agreement, a strong foundation for dealing with conflict will develop. The caregiver is the key person to set the stage for that exchange of ideas.

Helpful ways to communicate are:

•	Plan a family meeting. Bringing a family together as soon as possible is important because caregivers can identify both areas of agreement and disagreement and then can avert some potential conflict while finding compromise in areas of concern. Disagreement, discussed in a group setting, allows everyone to be heard and to feel included in decision making.
•	Ask everyone to consider feelings, concerns, and needs ahead of time and even write them down before the meeting.
•	Be a sleuth and listen for comments that signal current and future points of conflict. Comments like, “Ray never knew what to do when any of us were sick,” “Mother has always known that I was the one to be trusted,” or “We don’t need to let Helen know about this yet” are red flags for possible conflict to come.
•	Develop a repertoire of questions and statements to assist in building consensus like “What can all of us agree on?” and “Let’s start with the ideas that are the easiest and move to the most difficult.”

The result? Conflicts are dealt with early, consensus can develop, and money may be saved.

Tip #3 – Delegate Responsibilities
Seek help by continually building a caregiving community from your network of family, friends, and professional contacts. As caregivers we can wear ourselves out emotionally, physically, and financially if we attempt to go it alone. Life is skewed and everything suffers because we can mistakenly think, either out of guilt or from some deep-seated value, that the caring role can be assumed by only one person.

If your tendency is to want control and to do everything yourself, consider the following steps:

•	Begin with one trusted person and one task and delegate it. Starting small will help to reassure you and will build your confidence with one person who shares your concern and understands the plan for patient care.
•	Identify your success in terms of your emotional, physical, and financial well-being. (What did you accomplish by delegating?)
•	Proceed to identify additional trusted family and friends and delegate tasks that match their abilities.
•	Write down what benefits you, the patient, and your trusted caregivers are receiving as a result of your delegations.
•	Include professional contacts like your attorney, accountant, and financial advisor in your caregiving community.

The result? A broader caregiving community of people to help you in one of life’s most stressful roles.

Your professional caregiving community should be advisors who consider you and your needs in the total context of your life. They are people who will not only want to discuss your finances or legal issues, but will also want to ask about your personal challenges, family issues, and put them into the context of your overall wellbeing.

Don’t let your role as a caregiver derail your emotional, physical, and financial well-being. Expressing your feelings, dealing with conflicts and expanding your caregiving community with a broader set of contacts may provide you with more peace of mind making you more a more effective caregiver.

*Family Caregiver Alliance, San Francisco, 2006. www.caregiver.org

Margery Pabst is the co-author of Enrich Your Caregiving Journey (Expert Publishing, 2009), which includes over 130 steps for caring for yourself during the caregiving process. For additional information, visit www.pivotalcrossings.com.

Eldercare Survival Strategies

June 13, 2009 at 10:00 am | Posted in Pat Linard, PR | Leave a comment
Tags: Caregiver Burnout, Seminar, Survival Strategies

Sophia Heftler, RN, CMC, CALA will be presenting a presentation entitled “Eldercare Survival Strategies” on Tuesday, July 14th from 6:30-pm – 7:30pm at The Esplanade of Chestnut Ridge in Chestnut Ridge, NY. Sophia will discuss strategies to help you care for your aging parents and loved ones, ranging from determining if your parents need your help, how to obtain the appropriate help, overcoming resistance to help, and strategies to avoid caregiver burnout. Refreshments will be served.

To RSVP for this event, please call (845) 620-0606.