Challenges in Family Decision Making & Communication Keiro Caregiver Conference Orange County Buddhist Church May 21, 2011...
Family Decision Making <ul><li>Understanding family, past and present. </li></ul><ul><li>Changes undergone over time. </li...
Care giving in JA families <ul><ul><li>Historically. </li></ul></ul><ul><ul><li>Currently—parents providers of child care....
Family Decision Making  <ul><li>Best time is when will writing and living will are being considered. </li></ul><ul><li>Be ...
Talking points <ul><li>Where parents want to live. </li></ul><ul><li>Live by themselves for as long as possible. </li></ul...
Financial considerations <ul><li>Long term care insurance. </li></ul><ul><li>Medicare does not pay for SNF care. </li></ul...
<ul><li>Death of spouse. </li></ul><ul><li>Surviving parent has accident or becomes ill. </li></ul><ul><li>Family’s abilit...
Professional help <ul><li>Social workers and other professional counselors. </li></ul><ul><li>Resistance to getting outsid...
Example of successful intervention <ul><li>Case of  Emiko </li></ul>
Communication <ul><li>Elements of good communication. </li></ul><ul><li>Difficult family communication systems. </li></ul>...
Example: <ul><li>Case of Mary </li></ul>
Dynamics of  “gaman” <ul><li>Recent events in Japan. </li></ul><ul><li>Dark side of  “gaman.” </li></ul><ul><li>Awareness ...
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JASC OCBC CAREGIVER CONFERENCE

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JASC OCBC CAREGIVER CONFERENCE

  1. 1. Challenges in Family Decision Making & Communication Keiro Caregiver Conference Orange County Buddhist Church May 21, 2011 Frances Chikahisa, MSW, LCSW Chicago, IL
  2. 2. Family Decision Making <ul><li>Understanding family, past and present. </li></ul><ul><li>Changes undergone over time. </li></ul><ul><li>Current status of family. </li></ul><ul><li>Complications arising in process. </li></ul>
  3. 3. Care giving in JA families <ul><ul><li>Historically. </li></ul></ul><ul><ul><li>Currently—parents providers of child care. </li></ul></ul><ul><ul><li>Sandwich generation. </li></ul></ul><ul><ul><li>Parental inability to provide care. </li></ul></ul><ul><ul><li>Grandchildren as caregivers. </li></ul></ul>
  4. 4. Family Decision Making <ul><li>Best time is when will writing and living will are being considered. </li></ul><ul><li>Be aware of this as a process. </li></ul><ul><li>Consider POA for medical and financial at this time. </li></ul>
  5. 5. Talking points <ul><li>Where parents want to live. </li></ul><ul><li>Live by themselves for as long as possible. </li></ul><ul><li>Live with family member. </li></ul><ul><li>Live with full time caregiver in home. </li></ul><ul><li>Live in a structured senior program. </li></ul>
  6. 6. Financial considerations <ul><li>Long term care insurance. </li></ul><ul><li>Medicare does not pay for SNF care. </li></ul><ul><li>When resources are depleted, public aid is option. </li></ul>
  7. 7. <ul><li>Death of spouse. </li></ul><ul><li>Surviving parent has accident or becomes ill. </li></ul><ul><li>Family’s ability to deal with this becomes stressful. </li></ul>When crisis occurs
  8. 8. Professional help <ul><li>Social workers and other professional counselors. </li></ul><ul><li>Resistance to getting outside help. </li></ul><ul><li>Cultural shame interferes with obtaining help. </li></ul>
  9. 9. Example of successful intervention <ul><li>Case of Emiko </li></ul>
  10. 10. Communication <ul><li>Elements of good communication. </li></ul><ul><li>Difficult family communication systems. </li></ul><ul><li>How to cope with long standing family dysfunctions. </li></ul>
  11. 11. Example: <ul><li>Case of Mary </li></ul>
  12. 12. Dynamics of “gaman” <ul><li>Recent events in Japan. </li></ul><ul><li>Dark side of “gaman.” </li></ul><ul><li>Awareness as tool to aid in communication. </li></ul>
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