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Sandwiched In: Presentation Transcript

  • 1. Dianne Savastano, President Health assist May 18, 2010 Sandwiched In: Strategies for balancing elder care, your career and the rest of your life  
  • 2.
    • Agenda
    • Elderly demographics
    • Caregiving – what is it?
    • Elders at risk
    • Downward trajectory/case study
    • Prevention strategies
    • Medicare options
    • Advance directives
    • Summary
    Sandwiched In
  • 3.
    • Elderly Demographics
    • By 2030, 20% of population will be over 65
    • The number of people over 85 will triple between now and 2030
    • More elderly individuals moving closer to children
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  • 4.
    • Caregiver Definition
    • A person who is responsible for attending to the needs of a child or dependent adult
    • A person who helps in identifying or preventing or treating illness or disability
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  • 5.
    • Caregiving – Who is doing it?
    • Typical caregiver is a 46 year old baby boomer woman with some college education who works and spends more than 20 hours per week caring for her mother who lives nearby
    • Fulfill multiple roles as spouses (62%), parents and employees
    • One in 5 adults
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  • 6.
    • What constitutes caregiving?
    • Range from I may need to help soon to a daily obligation
    • Examples include:
      • Attending an appointment once per month
      • Taking care of house or financial matters
      • Hiring and managing outside help
      • Physically assisting with ADL
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  • 7.
    • Elders at Risk
    • Cognitive Impairment
    • Depression
    • Falls
    • Medication Interactions
    • Nutrition/Dehydration
    Sandwiched In
  • 8.
    • Downward Trajectory
    • Incident occurs
    • Hospitalization
    • Transition to next level of care/rehab
    • Can they return home?
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  • 9.
    • Case Study
    • Mr. E. is a 92 year old man that lives happily in his apartment in an assisted living center.
    • He is surrounded by staff that provide stimulating programming
    • His life is full of music
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  • 10.
    • Prevention, Prevention, Prevention
    • Have you had the talk?
    • Involve yourself in the care of elders
      • Talk about their medical issues
      • Review their insurance coverage
      • Make a list and review medications
      • Attend physician appointments
      • Look for subtle changes
    • What are your wishes for treatment?
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  • 11.
    • Medicare Options
    • Traditional Medicare, Part A and Part B
    • Medicare Advantage Plans
    • Supplemental Insurance Plans (to traditional Medicare)
    • Part D Prescription Drug Plans
    • Retiree Medical Plans
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  • 12.
    • Medicare Options
    • How have you used medical care in the past?
    • How do you plan to use it in the future?
    • How do you like to access healthcare?
    • Do you plan to access care outside of MA?
    • How much control do you want?
    • What do the options cost?
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  • 13.
    • Advance Directives
    • Health care proxy/medical power of attorney
    • Living Will
    • Durable power of attorney
    • Will
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  • 14.
    • Resources
    • Family Caregiver Alliance - www.caregiver.org 
    • National Alliance for Caregiving - www.caregiving.org 
    • National Family Caregivers Association - www.thefamilycaregiver.org  
    • Caregiver Helper - www.caregiverhelper.com  
    • National Association of Professional Geriatric Care Mangers - www.caremanager.org
    • National Academy of Elder Law Attorneys - www.naela.org
    • Lotsa helping hands - www.lotsahelpinghands.com
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  • 15.
    • Summary
    • Large challenges ahead as individuals, employees, employers, business owners
    • Be pro-active personally and professionally
    • Be creative in your approach
    • Prevention/prevention/prevention
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