Challenges in Family Decision Making

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From Keiro's 2011 Caregiver Conference

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Challenges in Family Decision Making

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

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