Coursework Objective taken from: http://www.elder-one-stop.com/caregiver-duties.html http://www.legacyofhealthcaremanagement.com Presenter: Linda R Smith, MSP-Strategic Leadership Series/All Rights to Copyright Materials Granted by Permission by Individual Presenter 1 What are Elderly Care Duties Dependent on? •Care duties begin with the needs of yourself and elders •Care giving is dependent upon the growing elderly issues •Most common issues consists of Senior Home Care, Elderly long-term care in assisted living facilities and nursing homes, which all utilize caregivers. 2 •Care givers may be you giving care to your mother in your home •It is possible you may need at some point in your life a part- time or full-time care giver •Where will you find the care givers? •What will you identify as the type of care giver needed? •Care givers need to work •This training coursework objective is central to the Workforce Investment Act of WIA-ETPL Eligible Provider List for Tennessee Labor & Workforce Development, pertaining to the “Return to Work” Initiatives placed by the State of Tennessee Labor Development Act 3 •Such as from elderly home care or provider agencies •It is therefore, important to identify and understand the role and responsibility as a care giver •It is significant to also understand a good elderly care giver description 4 5 5 •You must assess the needs of your elderly before you make decisions as to how to handle the elderly issues •Assessments need to be discussed with Elderly, Care giving contact or other professional such as family physician 6 •Don’t overstep your bounds or knowledge base-even good intentions often may cause further harm to the elderly •Follow your care plan completely and consistently-don’t leave out steps during care routines and activities 7 •Many care giving duties and activities are very personal to your Elderly •Discussing preferences or needs or if Elders prefer a male or female attendant care giver is an important discussion to have • Common caregiver duties and skill sets need to be performed by either you, the caregiver, or an outside person(s). Timelines will not dictate patient needs, and educating patients to costs and sharing tasks is important to help patient to understand budgeted timeline projections. • Grooming and assistance-Brushing teeth, holding toothpaste/brush, prepping for baths, shaving, cutting fingernails and toenails-caution must be taken if diabetic so check with the family and physician over care if this is the case. • Assistance with Dressing-allow timeline for layout of selection and choice of clothing. Usually in the morning right before and after baths. • Shampooing and Bathing-Assistance getting in and out of the shower or bath. Helping with bathing, stand-by assisting, handing towels or washing hard to reach spots for patients. The caregiver is nearby and present at all times, just outside the door as requested, or near to assist if unsteady gait is plan of care. • Respecting privacy is always the right of patients, being aware of any mental impairments, or handicap such as blindness, or mental status changes specific to care planning should be monitored. •Transferring-examples may be from chair to bed, from bed to toilet, in or out of vehicle, or in or out of assistive device •Toileting-there are different types and assistive needs. Especially important is dryness and cleanliness-Elderly comfort and personal hygiene for prevention of bacteria spreading is required •Discussions with full details with prospective caregiver and elders may see need to change routines, frequency during sudden changes in condition, such as illness may be unexpected 11 •Medication-all medication assistance must be administered with strict adherence to doctor’s orders. No changes should be made without family and doctor approval. However, help can be as simple as necessary, such as assuring medication is taken to preparation, and then to the actual Elderly moods/behaviors •Administration may warrant some difficulty and physician and family need to be contacted when this is the case • Elders resistance to taking medication can also be a similar occurring issue, often being able to take with gentle persuading, when illness or behavior is not the cause. Caution: Under no circumstances should any caregiver or person knowingly and willingly force medications onto patients. To administrator without regard to patient safety or patient’s rights to refuse is considered abusive conduct by caregivers. 12 •Meal preparation and serving-Caregiver and elder should discuss which meals to prepare, grocery lists made, and how many times per week meals need to be prepared. A nutritious menu must be discussed and approved, consistent with dietary care plan requirements. •Again-should elderly refuse to eat, reporting this is important. Never force-feed your elderly. 13 •Mail and newspaper/other media-make arrangements with elderly on preferences, such as opening mail, reading mail, newspaper, or cutting out coupons with elders •Decisions should be made regarding dealing with mail, set-up on computer email as requested by elders may be daily tasks. Some elders depending on vision or cognition impairment issues often exist and must be addressed 14 • Housekeeping-caregiver duties can include light/heavy housecleaning. Downsizing and unpacking boxes, or packing boxes may be necessary during times of relocation to another placement. • Making beds, changing bed linens and doing laundry, light ironing and putting away the clean clothing may be duties. • Kitchen and bathroom cleaning and especially maintaining sanitation, which includes regular garbage removal, packing and unpacking travel bags and other related tasks per care plan needs should be daily tasks performed. • Transportation-caregivers often drive or make travel arrangements to and from appointments, stores, entertainment, companionship settings, setting with elders at other placements, such as nursing homes or assisted living homes may be needed • Transportation may be needed for elders in Adult Day Care • Errands and shopping-escorting elders to errands or offering escort assistance may be done by caregiver • Ambulance-assistance and van services whether the patient is able to walk may be included in plan of care. • If confined to a wheelchair and non- ambulatory, or needs assisting ambulating, it is important to exercise on a regular basis. Discuss the type of walking or exercises needed and how frequently using special transportation if needed • Companionship-assisting with escorting elderly to social events, to Adult Day Care may be required by caregivers • Caregivers-may assist with birthdays, special event plans, or just reading aloud to patient. Playing games or doing crafts and hobbies, such as gardening, mowing, or raking leaves is a caregiver task and must be discussed with elders. Following the care plan for how much activities and the endurance levels of elders must be considered important • Religious Affiliations and spiritual growth is a vital intrinsic growth process for the emotional and psychological wellness of elders • Caregivers may be asked to read religious literature, and will need to participate with elders, per requests • Participating with elderly may not be the preference of caregiver’s role, if belief systems are different. In the event there are differences of religious values, this is a part of the elder discussion and respecting differences is a caregiver responsible role • Seek supervisor support or ask to replace yourself for a period of time to allow others to serve during your vacancy-planning ahead and knowing elders care plans will prevent misinterpretations from becoming issues • Management of symptoms and onset of illness-if elderly suffers from onset of illness that causes pain, rashes, lesions, any swelling, breathing difficulties, the doctor’s recommendations for procedures must be discussed immediately upon awareness • Any issues of neglect or abusive behaviors, unknown bruises, or other abusive issues must be reported immediately to the family, agency provider and physician, and a report to the state per guidelines made • Elderly will have rights to care and be educated regarding reporting of any abuses or neglect to proper authorities, regardless should such reports be against caregivers, without any retaliation being taken against elders • Therapy-either occupational or physical therapy may be discussed with the patient. This therapy may be a part of any elderly care setting, or the elder may go to an outside physical therapy facility • If caregivers work with on campus type therapy settings, therapies may be located on site with elders • Emergency services-there are care duties provided by an RN or LPN or by other staff in a facility, depending on the circumstances and as recommended by a doctor • Hospice care-often at home hospice care is usually in duration of 6-months or less depending on needs and certification • Hospice care helps provide care and offers intrinsic holistic care often using a chaplain services, or other supportive services • Patients are given palliative care, or other forms of intervention care for maintaining comfort, free of pain and kept emotionally calm during transition periods • Short term respite care-often a Senior homecare service can assist the caregiver by coming into the home setting to give the family caregiver a break • Communication-both progress and any issues should be discussed ongoing, and communicated by a health care service with the family and elder • The best means for assessing elderly and providing caregiver duties is by narrowing down some fundamental basics: Are elderly ambulatory, can they perform own grooming, eating, dressing or bathing tasks? • This is a short list to pay attention to. This could begin to reveal a decline, should these tasks change • Don’t take on more than you can handle-this will lead to caregiver burnout • Remember to have a back up support system in place-a mentor, supervisor or someone to feedback communication and exchange suggestions for prevention of burnout-taking this course work and continuing education will prepare you for any unexpected events, or help you to solve problems and find solutions • Maintain privacy and confidentiality during these periods of handling difficult situations and finding solutions to the problems • Train and get educational insight into Best practices for care giving tasks • Use your spiritual and intrinsic insight and search your heart for true meanings within relationships with your elders • Becoming meaningful to self and others- becoming a steward for the care of our Seniors is an honorable and worthy service • LLCP Health Care Management Training Institute can help you get to where you want to go- helping others in care giving to better themselves and gaining a knowledge for why you became a caregiver in the first place-Be the Best at What You Do by Serving Others! Circle of Learning: Assessing Your Skill Sets-Quiz Following PPT Demonstration: Link into below link: Servitude Good Stewards Being the Best in Care Giving Training to Improve Proficiency Understanding Why You Serve Others Cores: Five Corporate Philosophy of Belief Systems 1. Any and all Consultants and other like owners have formed a partnership of firm faith based foundational philosophy committed to continually develop, plan and train in the resources and skill sets and structure to provide quality cost- efficient beneficiary care giving supports and services. 27 2. By utilizing an on line educational institute 2. By utilizing an on line educational institute training, and face-to-face caregiver support training role, we offer lecturing, seminars at educational and training sites, further tutoring/coaching, classroom institute on site training with any and all workforce development areas, and seminars servicing the greater vicinity of Tennessee. By becoming a potential candidate for endorsement and becoming certified as an Eligibility Training Provider listed first in Tennessee, we will be able to seek funding, and other resources to achieve our goal and mission purpose. 28 3. Our faith based foundational principles are non-secular to domestic in home care holistic modeling, working with such governance as TN South Central Agency and Workforce initiatives, health related state guidelines, other institutional venues, and other governmental support opportunities. 29 4.By forming a liaison of service models and person- centered training, our partnerships are forming with other medical models such as nursing home institutional care and assisted living, home and community-based services and care, and campus type small CCRC and upscale assisted living within waiver programs. Our company, LLCP Health Care Management, LLP is here to serve students and other provider agency training and return to workforce and career changer needs. 30 5. Our holistic approaches of health care management tenets offer wellness to body, mind and spiritual growth and wellness. We believe the intrinsic values found in care giving continue to nurture self and others: through a transformation of transitioning heart changes, beginning with the Caregivers. From this aspect, our business philosophy is grounded in faith-basic principles and policy. We focus on family first initiatives for training the best of the best caregivers. Our student referral placement career fields are diverse and central to those providers and agency supports who endorse our training models and holistic intrinsic value systems we have adopted. 31 1. Actively involved with broad oversight guidance and corporate agreements, funding and other resource opportunities, we are building and channeling a networking of partnerships. Our client populations are created in the image of an Intrinsic Caring Creation, and therefore, our scope of skill sets’ capabilities are built around trust, credibility and assisting clients and professionals in placing into perspective, and bringing the right situation and solution to those individuals we are privileged to serve over as becoming good stewards of services and care. 32 2. All persons are created equal, with equal access to supports and services regardless of their belief systems. We will commit ourselves to serving people without regard to religious affiliation, racial diversity and ethnic origin, sexual preferences, physical and mental disability and conditions. 33 3. We hold ourselves accountable and responsible to be committed through our obligation to recognize any debilitating condition or service area that is out of the scope of our legal ability to assist, maintaining governmental requirements, committee reporting oversights, and reporting any and all abusive actions within and outside the scope of our job performance levels. 34 4. To successively carry out all the tenets we build our foundation upon, we remain committed to love, cherish and continue to serve our client populations. This is our Customer-First Initiatives and is focused within our holistic stewardship and purpose. To enrich others legacy of life style living by offering the best caregivers and support systems available for training, and implementation. Our trained caregivers partner and often are, certified nursing assistants, caregivers appointed by our client populations and others placed through our affiliate referral data based agency provider lists. Referrals often come from the business sector and non-denominational and congregate church and religious organizations. Other referrals are obtained through our membership’s affiliations, such as National Caregiver Association and Tennessee Association of Health Care Providers’ data lists and Families First referral bases. 35 5. Fairness and distribution of services are carried forward to the next generation of caregivers, modeling self-servitude of care, supports, services, guidance, mentoring programs and stewardships of serving others. We remain dedicated to the ethics and holistic faith-based human efforts of bettering society as a whole. This is our Legacy---to those we serve, by serving others. 36 [Linda r Smith, LLCP Training Facilitator LLCP Health Care Management, LLP, Training Institute] DIRECTIONS: DURATION OF QUIZ IS TIMED: 15 MINUTES PLEASE ANSWER EACH QUESTION BY SELECTING THROUGH MULTI-CHOICE THE BEST ANSWER ONLY ONE ANSWER PER QUESTION IS ALLOWED TIME OUT QUIZ WILL END WITHIN 15 MINUTES: PASSING WITH 80% TOTAL SCORED RESPONSES MUST BE COMPLETED TO RECEIVE YOUR CERTIFICATION OF EARNED CEUS mailto:legacyoflife16@yahoo.com January 9, 2012 A.___Directed towards staying in own homes and getting care there provided by in-home care givers B. ____Medicaid Choice community settings for moving elders and disabled individuals away from long-term institutionalization back to home setting to improve quality of living and reduce state costs C.____To provide choices of where to live and how care is to be provided D.____All of the above Answer-[ ] 39 • ____Individuals need care in their homes now • ____Nursing homes are primarily choice of care C.____Community-home based care is the same as care giving within home setting care D.____All of the above is correct Answer-[ ] • ____Inner core of center of distribution of care services • ____There is a mix of products and service areas of care • ____There are organizational structures with outside influences • ____All of the above Answer-[ ] .____Inside yourself and learning meaningful .____Inside yourself and learning meaningful relationships • ____With the elders • ____In the money made by providing care • ____In developing your tools from learning values and principles found within shared elder care stories and experiences, shared during the development stages that last within “heart-changed” care giving Answer-[ ] A.____These are the same things in Medicaid waiver programs that are kept the same throughout research and program development B. ____Independent variables up to interpretation of providers C.____The measure of change observed because of the independent variables seen in the length of stays at health care settings D.____There are no controlled variables Answer-[ ] .____Basic problems associated with aged .____Basic problems associated with aged adults that are not significant • ____Community Choice Programs with adults striving for independence • ____There are no foundational problems influencing adults • ____Stubborn wills to remain at home no matter what may be needed Answer-[ ] • ____mental distress • ____Losing ability for making own choices • ____Care coordinators who make decisions for elders instead of elders making choices themselves • ____Staying long-term in the institutional nursing home setting instead of going back home to live after short stay of illness Answer-[ ] A.____Social Workers, Administrator, and the family B.____The care giver, Home-Health agency, and care planning coordinator C.____Social Workers, discharge planners, attending physician, MDS nursing team, rehab team and hospital referral processors D.____All of the above Answer-[ ] A. ____Time is out and it is too late for more A. ____Time is out and it is too late for more research to be done due to laws passed B. ____There is nothing more to be done since we have failed to contribute to the success of providing enough community home settings already C.____Yes, more research is needed to develop more efficient and less costly home settings due to huge influx of “baby boomers” D.____No, there are not enough new families growing to increase the populations Answer-[ ] BONUS QUESTION Answers to follow 1.D 2.D 3.B 4.A 5.B 6.D 7.C 8.Bonus -A MR./MISS S/O , D/O HAS COMPLETED THE COURSE FROM 8 Hr. Program Length Certificate of Completion TO Completed Coursework Model One HIS/HER PERFORMANCE GRADE IS ‘ Teacher Sign. Linda R Smith, CEO 1/9/2012 ADMIN. CareGiver Training &On-Line Education Needs- Modeling Learning OneCourseat a Time Transforming Core Values of Care Givers Transition of Core principles HEART CHANGING Experiences Person Centered Care Outcomes LLCP Healthcare Management Training Models Web Site Based Instructional Training-How to Be a Great Care Giver D. No, there are not enough new families growing to increase the populations MR./MISS S/O , D/O HAS COMPLETED THE COURSE FROM 8 Hr. Program Length Certificate of Completion TO Completed Coursework Model One HIS/HER PERFORMANCE GRADE IS ‘ Teacher Sign. Linda R Smith, CEO 1/9/2012 ADMIN. CareGiver Training &On-Line Education Needs- Modeling Learning OneCourseat a Time Transforming Core Values of Care Givers Transition of Core principles HEART CHANGING Experiences Person Centered Care Outcomes LLCP Healthcare Management Training Models Web Site Based Instructional Training-How to Be a Great Care Giver D. No, there are not enough new families growing to increase the populations CareGiver Training &On-Line Education Needs- Modeling Learning OneCourseat a Transforming Core Values of Care Givers Person Healthcare Transition Centered Management of Core principles HEART CHANGING Experiences Care Outcomes LLCP Training Models MR./MISS S/O , D/O Time HAS COMPLETED THE COURSE Web Site Based Instructional Training-How to Be a Great Care Giver FROM 8 Hr. Program Length Certificate of Completion TO Completed Coursework Model One HIS/HER PERFORMANCE GRADE IS ‘ Teacher Sign. Linda R Smith, CEO 1/9/2012 ADMIN.