Tag Archives: eldercare

Sustainability in Dementia Care – It’s Not Just a Buzz Term

sustainabilitySustainability in training programs that improve patient and resident outcomes is critically important. Upper and middle managment must embrace change initiatives in order to successfully compete in an increasingly crowded marketplace.

But what happens after these programs are implemented?  Far too often we hear that wonderful “culture change” programs faded in time, often because the champions were no longer with the company, or had moved to other positions.  Unfortuantely for the organization, this means an investment of time, money and resources had gone to waste. This may be a result of poor planning and program implementation or simply a matter of not enough staff to oversee the program to ensure its success. In addition, many such programs are limited by proper funding and acceptance by upper management to the extent that there is never a cohesiveness to keep the elements of the program working smoothly.

It IS possible to have program sustainability.  With proper planning, collaborative efforts with training partners and the placement of champion leaders throught the employee spectrum, sustainable programmming is very possible.  In fact, we know that it can work! Below are just some examples of how programs can be made sustainable.

  • Champion leaders are made of upper, middle management and staff.  All team members working together on change initiatives is vital.
  • Management should encourage problem-solving skills among all staff as new programs are implemented.   Without idea generators, how would new practices every get off the ground?
  • Provide incentives for staff who practice culture change initiatives and embrace these in their everyday care routines.  By including simple accountability systems using champion leaders, this will insure that new tools are being used effectively and efficiently.
  • Make certain that everyone understands the big picure of why new practices are being implemented.
  • And finally, sustainability is afterall, not just about how you run your business but how you treat your staff.

Eldercare Professional to Family Caregiver

eldercare
What happens when an eldercare professional becomes a family caregiver?  This situation hit home when my husband had a cycling accident and fractured his hip. I was surprised by my reaction to suddenly becoming his care partner, juggling the role of home nurse, personal care attendant, meal provider, and problem solver of getting around in our two-story house. Somewhere in the mix I was also moral support and empathizer. The first week centered on creating a new routine, helping with pain management and personal care. Oh, and wound dressing changes. I quickly was reminded why I never became a nurse, calling a nurse-friend in a panic because the dressing from the hospital was stuck to the wound and I was sickened by pulling it off! If I’m perfectly honest, I felt angered at times by this turn of events that intruded our lives- I didn’t have time for this! It didn’t help seeing my active husband now using a walker- making him “old” to my eyes, bringing up fear about what’s to come as we age.

Now four weeks later I’m a bit more philosophical and I wonder about the interplay of personal and professional roles for those of us with years of experience in eldercare services. As an occupational therapist and dementia care educator I’d like to think I know something about managing home care. But I acknowledge that when it’s personal it’s a totally different dynamic. The boundaries become fuzzy and my emotions make it hard to be as objective as I would be in a professional role.

Luckily our situation is temporary. I know so many people for whom caregiving is endured for years, like my nurse friend who recently lost her husband to dementia and cancer. She cared for him at home for five years. We all will be eldercare partners at some point. I guess we have to suite up, show up, do the best we can, and allow others to help us out along the way.

 

Reality TV Drama or Real LIfe Healthcare Issues?

Reality or TV Drama

I’m not a big fan of reality TV shows.  The “supposedly” unscripted real-life situations to me are far from a virtual tour through life.  That said, I do find myself entertained from time to time at the subject matter some creative person comes up with to actually create a show.  Unbelievable…

I visited with a dear friend recently who has been caring for her sweet mother for many years. Once  healthy and mobile, age and illness is slowly taking its toll  Painful neuropathy, crippling arthritis and diminishing eyesight have teamed up to challenge her spirit and soul.  My friend is tired and I often see glimpses of resentment,  despite her deep love, respect and genuine concern for providing the care she deserves.  This scenario could easily be a true reality tv show, however the ratings would struggle.

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