Whole Body, Whole Care

Author

ProMedica Skilled Nursing and Rehabilitation- Ft. Myers East

Posted on

Apr 29, 2021

Book/Edition

Florida - Southwest

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How do we offer our care partners the best care? One of the most significant findings points to a team of multiple disciplines to address the whole person.
Dementia care research continues to show the value of the interdisciplinary team. Starting in the 1990s, research included looking at dementia special care. Gerdner & Beck1(2001) defined the interdisciplinary team of a dementia special care unit to include a registered nurse, activity director, social worker, registered dietitian, physician, certified nursing assistant, physical therapist, occupational therapist, music therapist and family member/care partner. Do not panic. Research also found few care units actually had every discipline represented. However, a retrospective study found that the stronger interdisciplinary teams were, the stronger family members rating of satisfaction with care.2
A care facility study found a dementia-specific interdisciplinary team resulted in higher satisfaction among residents, caregivers, and nurses as well as satisfaction for 79% of the physicians (Benedict et al., 2006; Counsel et al., 2000).3The value of the interdisciplinary team continues to be affirmed today.
Most recently a Parkinson's study found interdisciplinary team home visits were highly satisfying for the individual with advanced Parkinson's disease and related disorders.4The team includes a movement disorders neurologist, social worker, and nurse with the individual and caregiver. The team goals include a complete history, physical, detailed medication reconciliation, psychosocial needs assessment, and home safety assessment. A comprehensive, person-centered plan is developed with the entire team communicating as the plan is implemented. Quarterly home visits of all disciplines are included.
Consider your care team. What disciplines are represented? Most of us can say we have some clinical support from doctors, but do we have anyone committed to your care partners psychosocial health? Have you considered adding a dementia-specific physical therapist and occupational therapist? Is there someone offering dementia-specific activities for life enrichment?
There are many options offered through Medicare home health, home care providers as well as adult day centers, and memory care communities. There is far more to address beyond the clinical medications. The best part, your satisfaction with care will increase as you include more care disciplines for your partner.
Footnotes
1Gerdner, L. A., & Beck, C. K. (2001). Statewide survey to compare services provided for residents with dementia in special care units and non-special-care units, American Journal of Alzheimer's Disease and Other Dementias, 16(5),289-295.
2McCarty, C. (2011). The impact of hospice and Dementia Special Care Units on End-of-Life care for individuals with dementia, Scholar Commons, USF.
3Benedict, L., Robinson, K., & Holder, C. (2006). Clinical Nurse Specialist practice within the Acute Care for Elders Interdisciplinary Team Model, Clinical Nurse Specialist,20(5), 248-251.
4Fleisher J, Barbosa W, Sweeney MM, Oyler SE, Lemen AC, Fazl A, Ko M, Meisel T, Friede N, Dacpano G, Gilbert RM, Di Rocco A, Chodosh J. Interdisciplinary Home Visits for Individuals with Advanced Parkinson's Disease and Related Disorders. J Am Geriatr Soc. 2018 Jul;66(6):1226-1232. doi: 10.1111/jgs.15337. Epub 2018 Apr 2. PMID: 29608779; PMCID: PMC6105368.
By-line: Cate McCarty, PhDs background in nursing, activities and admissions has given her a passionate commitment to quality of life for the individual and family with dementia. Cate is currently the care partner for her spouse who has early-stage dementia of the Alzheimer's type.

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Living with a chronic illness can be challenging in many ways. Beyond managing symptoms and making lifestyle adjustments, individuals with long-term medical conditions often face the ongoing responsibility of navigating a complicated healthcare system. From scheduling appointments and coordinating with specialists to understanding treatment options and managing medications, keeping up with healthcare needs can quickly become overwhelming.Conditions such as diabetes, lupus, heart disease, multiple sclerosis, arthritis, and other chronic illnesses often require continuous medical attention. Patients may work with several healthcare providers, undergo routine testing, manage multiple prescriptions, and make important decisions about their treatment and long-term health.While managing a chronic illness can sometimes feel like a full-time job, understanding how to navigate the healthcare system can make the process easier. 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How often should I schedule follow-up appointments? When should I contact my doctor if my symptoms change? Do not hesitate to ask your physician to explain something again if you do not understand it. You deserve to have your questions answered and to understand the recommendations being made about your health.It can also be helpful to request written instructions or reliable educational resources that you can review after your appointment.Coordinate Care Among Multiple SpecialistsMany people with chronic illnesses receive care from several different medical specialists.For example, someone with diabetes and heart disease may see an endocrinologist, cardiologist, primary care physician, and nutrition specialist. 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Why Having a Healthcare Advocate Can Make a Difference

Why Having a Healthcare Advocate Can Make a Difference in Your Medical Journey.  Navigating the healthcare system can sometimes feel overwhelming, especially when dealing with a new diagnosis, managing a chronic condition, or making important decisions about medical treatment. Between scheduling appointments, understanding medical terminology, communicating with multiple healthcare providers, and keeping track of treatment plans, patients and their families can quickly become frustrated or confused. This is where a healthcare advocate can make a meaningful difference. A healthcare advocate serves as a knowledgeable support person who helps patients navigate the healthcare system, understand their medical options, communicate with healthcare professionals, and make informed decisions about their care. 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When patients have multiple medical providers, having someone help organize their healthcare information can make the process less stressful and help reduce the likelihood of important details being overlooked. Helping Patients Make Informed Healthcare Decisions Medical decisions can have a significant impact on a person's health, independence, finances, and quality of life. Patients may be asked to consider medications, surgical procedures, treatment plans, rehabilitation services, or other medical interventions. Making these decisions can be difficult, particularly when patients are facing unfamiliar medical conditions or complicated treatment choices. A healthcare advocate helps patients understand the information available so they can have more productive conversations with their medical providers. An advocate may help patients: Understand the purpose of recommended treatments. Prepare questions about potential risks and benefits. 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It is also important to understand what services are included, how the advocate works with healthcare providers, and whether services are available in person, remotely, or both. A good healthcare advocate should help you feel informed, respected, and empowered rather than pressured into making decisions. Take an Active Role in Your Healthcare Journey Your health is one of your most valuable assets, and you deserve to feel informed and supported when making decisions about your medical care. Unfortunately, navigating the healthcare system is not always easy. Complicated diagnoses, multiple specialists, confusing medical information, and difficult treatment decisions can leave patients feeling uncertain about what to do next. A healthcare advocate can help make the process more manageable by providing guidance, improving communication, organizing healthcare information, and helping patients understand their options. Most importantly, having an advocate can help patients become more confident participants in their own healthcare journey. You do not have to navigate complicated medical situations alone. With the right support, you can ask better questions, understand your choices, and work more effectively with your healthcare team. If you or someone you love is feeling overwhelmed by the healthcare system, consider reaching out to Vital Voice Healthcare Navigation. Having a knowledgeable advocate by your side can make a meaningful difference in understanding your care and moving forward with greater confidence.

How to Organize After the Holidays

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