What is a Geriatric Assessment and Care Plan?

The Role of a Geriatric Care ManagerThe share of the United States population over the age of 65 has risen to 16%, and it is expected to climb further to 23% by 2060. People are living longer, and that means that people also have more specialized health care needs.Aging life care calls for a different kind of attention, as various conditions and syndromes begin to present themselves. Depending on which conditions those are, the situation can get complicated pretty quickly. In some cases, it might be worthwhile to consider hiring a geriatric care manager.As we and our loved ones age, we usually end up needing support from the people around us to make sure our needs are met. Family members in particular tend to shoulder this responsibility. But there are many reasons that might make it difficult to have a good support network in place. The most common reason is that family caregivers simply live too far away to provide reliable senior care management.In this context, geriatric care managers can be thought of as "professional relatives." If a family member is not able to provide long term care, geriatric care managers can help provide any and all services related to elder care. They are usually licenced nurses or social workers who are trained in aging life care, and they organize care plans and advocate for their patients needs.If you hire a geriatric care manager, you will be able to count on them to navigate the complexities of the health care system. It can also be helpful to have someone who can make decisions from a neutral point of view, as family caregivers sometimes have to make difficult decisions that are deeply personal.The primary responsibilities of a geriatric care manager are:Coordinating elder care between multiple service providersDeveloping both short and long term care plansHelping manage emotional concerns, stress, and anxietiesHelping manage transitional careHiring additional caregivers as necessaryMake home visits and evaluate living conditionsOngoing assessment of aging life care needsAll of this helps take the pressure off family members and ensures that geriatric care management is always under control.When to Seek Support With an Aging Life Care ExpertThere are many cases in which families are perfectly capable of managing aging life care for someone they love. But it can be challenging to know when you might be taking on more than you can reasonably expect to handle. As discussed above, one of the most obvious challenges is that family members do not live near the person who needs their care. But other complications are not as straightforward.You should consider hiring a geriatric care manager when:You need help with a complex issue. Lots of medical conditions can lead to the kinds of behaviors that should really be handled by aging life care professionals. Issues related to dementia, verbal abuse, or physical violence are among these.Your loved one will not talk to you about their health. Whether it is out of concern for privacy, a soured relationship, or an inability to describe what they are experiencing, older adults sometimes do not let relatives help them. A geriatric care manager gives them someone they feel comfortable talking to about their health. You are having trouble communicating with service providers. Geriatric care managers have a better understanding of where other aging life care professionals are coming from, so if you have run into a wall in negotiations or are not able to get the information you are looking for, your care manager is in a position to communicate more effectively.You do not know what to do. Caring for a loved one can be complicated for reasons beyond their health. We always want the best for them, but sometimes there are multiple pathways and it is not clear which one will be best. Geriatric care managers can provide their objective point of view to help your loved one receive the senior care that is right for themFinding Geriatric Care ManagersA geriatric care manager does not have to hold a state level license. But because many of them come from fields in health care, they elect to maintain their credentials. Care managers who come from social work often have to have active licensure in order to practice in their state.So on the one hand, a lack of certification or licensure is not necessarily a deal breaker. On the other hand, it is important that they can demonstrate their experience as aging life care professionals. If you are hiring a geriatric care manager, be sure to ask about the following:Do they have direct experience with managing issues specific to your loved one? This is especially important to cover in cases of severe injury or cognitive decline.Do they have experience with crisis care management? If your loved one is prone to seizures or is at high risk for falls or heart attacks, aging life care professionals need to know how to handle this type of emergency situation. Also ask them if they are available to respond around the clock, or if they have set hours.How will they communicate information to you? It might seem like a tedious question, but being on the same page about communication methods and styles can save everyone a lot of frustration and confusion.Can they provide references? It can be hard to really understand who you are working with based on their resume alone. Talking to people who know them well is a good way to corroborate your first impressions.How are their costs and fees structured? Senior care can be expensive it is typically not covered under Medicare or most other insurance plans so it is important to understand how much things will cost up front. Geriatric care managers charge by the hour, typically within a range of $75200 per hour.When families turn to aging life care professionals for care management services, they need to know as much as possible about the roles and responsibilities of the people they are bringing into the fold. Geriatric care managers help families navigate the complexities of elder care and relieve them of the stress and anxiety that so often comes along with it. They are experienced in working with a variety of national and local resources, care providers, and care services to ensure the highest quality of life possible.Give me a call for a FREE 20 minute consultation at 714-403-7040. source: Keystone Health, 2024. https://keystone.health/geriatric-care-manager-role-responsibilities#table-of-contents

The Sweet Tooth Mystery: Why Seniors Crave Sweets After Eating Do you find yourself or older loved ones reaching for dessert shortly after finishing a meal? If so, you're not alone. It's a common observation that many seniors have a seemingly insatiable craving for sweets after they've finished their main course. And its not just a coincidence, either. There are actually several physiological and psychological factors that are responsible for the guilty pleasure and can explain why seniors crave sweets after eating.  Lets shine some light on both the biological and emotional underpinnings of this common occurrence. Changing Taste BudsAs we age, our taste buds undergo significant changes. Think about some of the food items you like now that you wouldnt dare touch when you were a child. Broccoli, Brussels sprouts, the list goes on. But as you get older, the sense of taste becomes less acute, and certain flavors, particularly sweet ones, become more appealing. This is often because the perception of sweetness lessens with age, making sugary foods more enjoyable. You may find that you need more intense flavors to satisfy your palate, and sweet foods provide this intensity. Thus leading to seniors craving sweets after eating. Nutrient DeficienciesIts not uncommon for seniors to have some sort of nutrient deficiency due to various factors, such as poor dietary choices or medical conditions. Cravings for sweets can be a result of the body seeking essential nutrients. For example, a deficiency in certain minerals like magnesium or zinc can lead to sugar cravings. Chocolate is a common sugar craving resulting from vitamin deficiency. Eating sweets can provide a temporary boost in energy and mood, but it's important for seniors to address any underlying nutrient deficiencies through a balanced diet or supplements. Emotional ComfortWhat do most of us reach for when were depressed? SWEETS! It doesnt get any easier the older we get. Seniors often face unique emotional challenges, such as loneliness, grief, or the physical limitations that can come with aging. Sweets are associated with comfort and can trigger the release of endorphins, which provide a temporary emotional boost. This psychological connection between sugary treats and comfort can lead to cravings. The taste of sweets provides solace, helping to comfort us during our difficult times.  Medications and Side EffectsMany seniors are on various medications to manage chronic health diseases and conditions. Some of these medications can cause changes in taste perception or trigger a metallic aftertaste, which may make sweets more palatable. Additionally, certain medications can affect blood sugar levels or metabolism, leading to sugar cravings as the body seeks to maintain equilibrium. Social and Cultural FactorsThe social aspect of sharing dessert with family and friends after a meal can also be a powerful motivator. Seniors may have fond memories of family gatherings and celebrations where sweets were a central part of the experience. This cultural and social conditioning can create a desire for sweets, especially after a satisfying meal. Habitual BehaviorSeniors who have developed a lifelong habit of indulging in desserts after meals may continue this pattern. Habits are difficult to break, and the association between eating sweets and feeling satisfied after a meal can be deeply ingrained. How to Manage Sweet CravingsWhile some level of craving for sweets after a meal is common, especially in seniors, it's important to strike a balance to maintain a healthy diet. Here are some tips for managing sweet cravings. Maintain a Balanced Diet: Ensure youre following a well-balanced diet that meets your nutritional needs. Incorporate fruits and other healthier sweet alternatives to satisfy your cravings. Monitor Medications: Discuss any medication-related changes in taste or appetite with a healthcare provider and explore potential solutions or alternatives. Emotional Support: Address emotional factors by providing companionship, engaging in activities that bring joy, and connecting with others and support networks to combat loneliness. Hydration: Sometimes thirst can be misinterpreted as hunger or sugar cravings. Make sure you stay adequately hydrated to avoid unnecessary cravings. Small Portions: Instead of eliminating sweets entirely, enjoy smaller portions to satisfy the craving without overindulging.  The tendency for seniors to crave sweets after eating isnt as simple as one might think.  Understanding the physiological and psychological factors that contribute to these cravings can help you find the necessary support and guidance to ensure you dont overindulge. While a sweet treat can be enjoyable and comforting, moderation and balanced nutrition remain key to promoting overall health and well-being.This article was contributed by VIPcare of Alabama.  VIPcare provides primary care for the 65+ community.  Call VIPcare at 866-333-7897 for more information or to make an appointment.

Dentists, Diabetes, and You: Effects Diabetes has on Teeth and GumsOCTOBER 25, 2023In the United States, one in ten people have diabetes. However, one in five people with the disease arent aware they have it. This is concerning because managing the condition without a diagnosis can be challenging.While a medical doctor is often the first to see symptoms of diabetes, your dentist is another professional who can spot signs of the condition during your preventive checkups. Diabetes can have a serious impact on your oral health; therefore, its important to properly manage the disease if youre diagnosed.DIABETES IN THE UNITED STATESDiabetes is one of the most common types of chronic disease in America, which is why its important to understand the effect of diabetes on oral health.The Centers for Disease Control and Prevention (CDC) estimates that 37.3 million people living in the U.S. have diabetes, yet only about half are officially diagnosed with the disease.More shockingly, as many as 96 million Americans are prediabetic, meaning they have a higher than normal blood sugar, but its not high enough to be considered diabetic.The number of diabetes diagnoses is expected to dramatically increase in the United States during the next decade. Because of this, keeping track of any changes in your oral or physical health is essential. Untreated diabetes can lead to serious medical complications and even death, so its vital to go to preventive medical and dental appointments where professionals can spot signs of the condition.Although there is no cure for diabetes, it can be managed with lifestyle changes and medications.DIABETES AND ORAL HEALTHDiabetes impacts many parts of the body, including the mouth and teeth. If diabetes is left untreated, patients may experience the following symptoms:Dry mouth due to less saliva productionA higher risk of cavities and tooth decayIncreased risk of developing gum diseaseA higher risk of developing an infection in the gum and bone that hold teeth in placeTooth lossBad breathDuring your bi-annual preventive checkups, your dentist can compare any changes in your oral health that may indicate diabetes. Maintaining good dental health habits and receiving professional deep cleanings from your dentist can also help lower your HbA1c or average blood glucose levels.Its a two-way street! Though dental patients with diabetes are more likely to develop gum disease, dental cleanings help reduce a diabetic patients risk factors for unhealthy glucose levels.REDUCING YOUR RISK OF DIABETESPreventing diabetes, specifically type 2 diabetes, is one of the best ways to care for your oral and physical health. Medical professionals recommend the following to reduce your risk of developing the disease:Eat more plant-based food such as leafy greens, legumes, fruits from trees, and whole grainsSkip trendy diets and focus on maintenanceLose excess weightMove your body for at least 30 minutes a dayIncrease good fats, such as olive oil and nuts, in your dietDENTAL APPOINTMENTS ARE IMPORTANT FOR ORAL AND OVERALL HEALTHVisits with your dentist are important for oral and overall health. Dentist keep your teeth, gums, and mouth healthy and are also on the lookout for changes in your overall health. Small changes in your mouth may not mean much to you, but to  dentists, these changes  can indicate bigger problems such as diabetes, oral cancer, and other medical conditions.For more information about how dental appointments help your overall health, check out this blog.CLINIC AND PROVIDER TIPS, ORAL HEALTH