Caring for Aging Parents Children obey your parents
Caring for Aging Parents “Children, obey your parents in the Lord: for this is right. Honor your father and mother; which is the first commandment with promise; that it may be well with you, and that you may live long on the earth. ” (Ephesians 6: 1 -3) Week 4 | Negotiation the Healthcare System, Part 2 | March 29, 2015
2 Negotiating the Healthcare System, part 2 MARCH 29, 2015 Coordination of care across multiple doctors (primary care physician, allergist, audiologist, cardiothoracic surgeon, cardiothoracic vascular surgeon, chiropractor, dentist, dermatologist, electro physiologist, gastroenterologist, general surgeon, bariatric surgeon, gerontologist, ob-gyn, hematologist, internist, nephrologist, neurosurgeon, oncologist, ophthalmologist, orthopedist, otolaryngologist, pain management specialist, sleep specialist, physiatrist, reconstructive surgeon, podiatrist, psychologist, radiation oncologist, rheumatologist, urologist, vascular surgeon, wound care specialist) Managing prescriptions Emergencies (when/who to call, transportation, hospital emergency departments) Hospitalization, Rehabilitation, Transitions (to home, to long-term care) Caring for Aging Parents 2015 -03 -29
3 Meet today’s panelists Caring for Aging Parents 2015 -03 -29
4 Mike Norwood: Mike Norwood retired from 12 years with TN Dept. of Health after being in retail 4 years and in ministry 32 years. He currently acts as Conservator and Guardian for his mother-in-law who resides at Claiborne Hughes in Franklin. She suffers from vascular dementia and has been in residential care for over 6 years. Caring for Aging Parents 2015 -03 -29
5 Travis Johnson Travis has attended Berry's Chapel for 30 of his 33 years of existence. He has been in EMS for 12 years. Worked for Dekalb EMS for 5 years as an EMT. Moved to Smithville for 3 of them and attended Paramedic school at Tennessee Tech. Moved back home to Franklin in 2008, and have been employed through Williamson Medical Center EMS since as a Paramedic / Field Training Officer. Teaches various classes for CPR Nashville. When not working assists in the wrangling of his 4 kids. Caring for Aging Parents 2015 -03 -29
6 Rhonda Wood - Rhonda has been a Registered Nurse for 35 years, and currently works as a health coach with Care. Here in Brentwood since 2006. Rhonda's introduction to caregiving began in 2006 when her father was diagnosed with Alzheimer's and once again when her mother-in-law was diagnosed with Alzheimer's disease in 2008. Logistically, both parents were cared for remotely with coordinated efforts from family, friends, and loved ones. Caring for Aging Parents 2015 -03 -29
7 Our Faith Lament over Judah “Is there no balm in Gilead? Is there no physician there? So why has the healing of my dear people not come about? ” (Jeremiah 8: 22, HCSB) Caring for Aging Parents 2015 -03 -29
8 Our Prayer today Patience Persistence Perspective Caring for Aging Parents 2015 -03 -29
9 Patient-Centered Medical Home (PCMH) Caring for Aging Parents 2015 -03 -29
10 Accountable Care Organization (ACO) Caring for Aging Parents 2015 -03 -29
11 Comments from our panelists… Caring for Aging Parents 2015 -03 -29
12 Mike Norwood “Will you please promise me that I won’t have to go to a nursing home? ” Caring for Aging Parents 2015 -03 -29
13 Travis Johnson Caring for Aging Parents 2015 -03 -29
14 Rhonda Wood “In today’s world, navigating the healthcare system can be very intimidating. It requires organization, knowledge, and appropriate resources to advocate for yourself or your loved one, resulting in desired continuity of care. ” Caring for Aging Parents 2015 -03 -29
15 How do I advocate for myself or others? Caring for Aging Parents 2015 -03 -29
16 The Team Patient Professional Care Providers Family Friends/Neighbors Clergy Legal/Financial Counselors Caring for Aging Parents 2015 -03 -29
17 Get Organized! Notebook: Forms of Personal ID -Copies of Social Security Card, Driver’s License, Passport, Birth Certificates, Marriage Licenses, Death Certificates, Military Discharge Papers Medication Record Contact info of every doctor (provider) Health/Pharmacy care Coverage information Copies of Healthcare Records from all providers Notes from Doctor, Lawyer, Accountant, Banker meetings Caring for Aging Parents 2015 -03 -29
18 All those Dr. appt…. . Establish care with a Primary Care doctor who understands older adult care concerns and will work with the patient and family to establish a “medical home” Geriatric Specialist Care Manager In time, simplify!!! Caring for Aging Parents 2015 -03 -29
19 Your Guide to Medicare’s Preventive Services http: //www. medicare. gov/Publications/Pubs/pdf/10110. pdf Caring for Aging Parents 2015 -03 -29
20 According to Consumer Reports on Health… “Any new health problem in an older person should be considered drug induced until proven otherwise”. Caring for Aging Parents 2015 -03 -29
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22 Healthinaging. org In 2012 The American Geriatrics Society updated the BEERS Criteria: Medications that older adults should avoid or use with caution Healthcare providers use the AGS Beers criteria when whether and what to prescribe for older adults The criteria does not take into account all of the unique circumstances of older people getting palliative or hospice care. Caring for Aging Parents 2015 -03 -29
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25 Next week Caring for Aging Parents 2015 -03 -29
26 Financial and Legal Issues April 5, 2015 Wills Power of Attorney Estate Planning Protecting and preserving assets Reverse mortgages? Investment options appropriate for aging parents Family members financial responsibilities (or potential responsibilities) What should be considered when multiple children are involved Caring for Aging Parents 2015 -03 -29
27 Resources Available Caring for Aging Parents 2015 -03 -29
28 Everything in One Place http: //berryschapel. org/ministries/caring-for-aging-parents Caring for Aging Parents 2015 -03 -29
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