Planning for Safe Home Caregiving


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  • SN : Wound care, Infusions, med instruction PT : Transfers, walking, strength training OT : Equipment needs, ADL’s Aide : bathing and personal care MSS : Financial and social needs SLP : Speech and swallowing Nutritional : diet teaching Ostomy: colostomy and ilieostomy
  • SN : Pain and symptom control MSS : Dealing with the illness, death and dying PT : safety in transfers Aide : Bathing and personal care Chaplain : Spiritual needs Respite : Family/caregiver needs a break Gen InPt : Symptoms out of control Supplies, Equip, Meds; related to terminal illness Bereavement : Beginning to one year.
  • Adult Day Care : Family works Ramps, stair rails Transportation : MD or deliver medications HME : Walkers, canes, bath bench, toilet seat riser
  • Visiting Seniors for socialization Oxygen : tanks, concentrators RT : Respiratory assessments in the home, check oxygen level
  • Whether you are the patient or the caregiver Be yourself at home
  • Name : Brand or Generic Purpose : what is it for, how does it work? Dose : 10 mg or 200 mg? One tablet or three tablets? When : before meals/after meals? one time a day or three times a day How : tablet, liquid, drops,the dreaded suppository? Inhaled, a shot,? Precautions :take with OJ or not with grapefruit juice Storage : refrigerated, cool, dry place, or locked up narcotics?
  • Are they new SX? Have you ever had these symptoms before? Refills : weekends, Holidays or when Pharmacy is closed Expired meds can make you sick Pain Chart
  • Labels : Look for the serving size on containers The fresher the ingredients the more flavor in the food. Mrs. Dash Lack of appetite : especially after surgery Go slow and add in foods over time. Tube feeding : Learn how to clean the bag and tubing, Learn to flush the tubing
  • Exercise : go slow but steady. Certain routines to do? Shower : Dressing? No Bathing? Limitations : Weight on a leg for a week? Treatments : Breathing with nebulizer or inhaler; wound care or dressing changes, infusions? F/U appointments : doctor, or to start outpatient care – rehab or PT
  • Hazards : throw rugs, clutter, fire danger, cause a fall Lighting : read med bottle, watch your steps at night Oxygen : No Smoking, tubing-5mins,
  • Work with your Health Care Providers
  • That would have staggered the health care system
  • Temporary : surgery Permanent : Hospice Loss of a body part- grieving Withdrawal socially, severe sadness Heart palpitations or worry that something is wrong
  • Telehealth : communicate with your nurse, check BP, EKG, blood sugar results EHR : Ability to exchange patient information across providers, sites, or organizations.
  • Planning for Safe Home Caregiving

    1. 1. Planning for Safe Home Caregiving By Shirley Mangini, R.N.
    2. 2. Services Available <ul><ul><li>Home Health Care: Skilled Nursing, Physical Therapy, Occupational Therapy, Aide Care, Medical Social Services, Speech Therapy, Nutritional Services, and Ostomy Nurse Care </li></ul></ul><ul><li>Patient and Family Education </li></ul>
    3. 3. Services Available <ul><li>Hospice Care: Skilled Nursing, Medical Social Services, Therapy Services, Aide Care, Chaplain Services, Respite Care, General Inpatient care, Medical supplies, Equipment and Medications as allowed by the Hospice, and Bereavement Services. </li></ul>
    4. 4. Services Available <ul><li>Personal Care Services </li></ul><ul><li>Chore Services: Laundry, Housekeeping, and grocery shopping </li></ul><ul><li>Adult Day Care </li></ul><ul><li>Minor Home Adaptations: Accessibility </li></ul><ul><li>Transportation Services </li></ul><ul><li>Home Medical Supplies </li></ul>
    5. 5. Services Available <ul><li>Senior Companion Program </li></ul><ul><li>Oxygen </li></ul><ul><li>Respiratory Services </li></ul><ul><li>Lifeline </li></ul><ul><li>Meals on Wheels </li></ul>
    6. 6. What Do I Need to Know? <ul><li>Becoming involved helps you feel less anxious. </li></ul><ul><li>Caregivers play an important role in keeping the patient at home. </li></ul><ul><li>Patient’s well-being is enhanced. </li></ul>
    7. 7. Medications <ul><li>Know the drug name </li></ul><ul><li>Know the purpose </li></ul><ul><li>Know the correct dose </li></ul><ul><li>Know when to take it </li></ul><ul><li>Know how to take it </li></ul><ul><li>Any special precautions </li></ul><ul><li>Storage of medications </li></ul><ul><li>Remember to ask: What is that and what is it for? </li></ul>
    8. 8. <ul><li>Let your doctor know if you have any questions about the symptoms you are experiencing. </li></ul><ul><li>Refill your medications before they run out. </li></ul><ul><li>Medication List: Include OTC </li></ul><ul><li>Throw away old medications </li></ul><ul><li>Pain </li></ul>
    9. 9. What Do I Eat? <ul><li>Check out the meal tray in the hospital </li></ul><ul><li>Is there a limit for salt or sugar? </li></ul><ul><li>Learn to read labels </li></ul><ul><li>Flavor: Fresh ingredients and spices </li></ul><ul><li>Lack of appetite: go slow </li></ul><ul><li>Feeding tube: How does it work? Can you put medications through it? </li></ul>
    10. 10. Written Instructions! <ul><li>Ask about the care needed: </li></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Shower </li></ul></ul><ul><ul><li>Limitations </li></ul></ul><ul><ul><li>Treatments </li></ul></ul><ul><ul><li>Current medication list </li></ul></ul><ul><ul><li>Follow-up appointments </li></ul></ul>
    11. 11. Safe Home Environment <ul><li>Remove hazards </li></ul><ul><li>Provide good lighting </li></ul><ul><li>Oxygen safety </li></ul><ul><li>Fire safety: smoke detectors, fire extinguisher, fire evacuation plan </li></ul><ul><li>Hand rails on stairs </li></ul><ul><li>Emergency Preparedness </li></ul><ul><li>Good hand washing </li></ul>
    12. 12. <ul><li>Use good body mechanics </li></ul><ul><li>Get help when you need to get up or walk. </li></ul><ul><li>Make sure any medical equipment is working correctly. </li></ul><ul><li>Prevent skin breakdown: move or turn at least every 2 hours, keep skin clean and dry, use lotions to help with circulation, and protect the bony areas. </li></ul>
    13. 13. Finances <ul><li>Become your own Insurance expert. </li></ul><ul><ul><li>Know what is in your policy </li></ul></ul><ul><ul><li>Know what it pays for </li></ul></ul><ul><ul><li>Know what needs to be prior authorized </li></ul></ul><ul><ul><li>Learn how to navigate the health care system. </li></ul></ul><ul><li>Ask for help to manage personal finances </li></ul>
    14. 14. Caregivers <ul><li>In 2000, the economic value of family care giving was estimated at $257 billion. </li></ul><ul><li>Problem solvers </li></ul><ul><li>Expected to monitor the condition, recognize abnormalities, and know how to respond. </li></ul><ul><li>They are the eyes and ears for the doctor. </li></ul>
    15. 15. Taking Care of the Caregiver <ul><li>Stressful or Rewarding </li></ul><ul><li>Self-care can be compromised: </li></ul><ul><ul><li>Insomnia </li></ul></ul><ul><ul><li>Forgetting to take medications </li></ul></ul><ul><ul><li>No time to exercise, see a doctor or rest. </li></ul></ul><ul><li>Working with your health care provider will ease the load. </li></ul><ul><li>Take a break for yourself </li></ul>
    16. 16. Special Issues <ul><li>Sometimes patients are dealing with declining health and loss of independence: give them time, each person deals with this loss differently. </li></ul><ul><li>Give Encouragement </li></ul><ul><li>Seek help for symptoms of depression or anxiety. </li></ul>
    17. 17. The Near Future <ul><li>Tele-health </li></ul><ul><li>Electronic Health Records </li></ul><ul><li>Tax advantages or stipends for caregivers in the home. </li></ul><ul><li>WHCoA Report (White House Council on Aging) meets every 10 years to help guide aging policies for the next decade and beyond. </li></ul>
    18. 18. Thank you and Safe Home Caregiving