Home Care in Massachusetts – 21st Century vs 20th Century Needs


September 22, 2010
Posted By Jim Reynolds | Comments (2)

The post below is adapted from an except of our white paper, Re-Imagining Home Care: New Needs, New Approaches.  This is the 2nd in a series of of 11 posts.

Ted and his wife Marian – everybody called her “Mikie” – retired to Cape Cod in the 1970s. In 1984, at only age 60, Mikie was diagnosed with terminal cancer.  Its progress was quick: she received home medical care from visiting nurses, but within six months, with her children at her bedside, she died.

An increasing number of home care clients

  • Are medically stable
  • Need support for activities of daily living (ADLs)
  • Require long-term care
  • Live alone
  • Pay out of pocket
  • Have family at a distance

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Home care aides were soon back at the house, however.  Years earlier, a stroke had left Ted with limited mobility.  He was able to walk with a cane, and even to drive short distances; he could manage through a day. Now a widower and alone, he declined noticeably and was in a wheelchair within a year.  So after a family conference, the home care aides returned: twice daily visits for meal preparation, medications, grooming, hygiene, and related needs. But Ted spent his days in his wheelchair watching TV reruns.  His adult children, with jobs and families off the Cape, visited often and managed his care from afar, but they were sometimes unaware of changing needs or significant events until they came for weekend visits and read the care log kept on the kitchen counter. Otherwise reasonably healthy, Ted’s daily routine did not change much until he entered a nursing home 16 years later, in 2000. (more…)

Why Does Home Care Need to Change?


September 14, 2010
Posted By Jim Reynolds | Comments (2)

Home care in the US developed in the mid-20th Century to deliver medical services to acutely ill people over a short period in a home where another adult lived.

The needs of a large and growing segment of home care clients differ dramatically from those of the typical client of the past 30 to 50 years, but the home care industry has not adapted to them.  That unfortunate reality has left a large group of clients under-served by expensive care plans.  As an industry, we can do better, but we have to be willing to change the way we view and serve our clients.

CHANGE WE NEED
  • Focus on wellness
  • Use of web technologies
  • Team communication
  • Reduced cost approaches

This growing segment of home care clients presents new challenges for the home care industry: unlike most patients in the 20th Century, these clients are medically stable, but need support to live in the home of their choosing – typically, a home they have occupied for years and perhaps (more…)

Boston Elder Home Care Technology – Available Today!


September 10, 2010
Posted By Jim Reynolds | Comments (2)
Home care technology

Elder Home Care technology in Boston is available now. We do not need to await new developments.

The Center for Connected Health in Boston hosts the  Connected Health Blog, and recently Dr Joseph Kvedar discussed developments he expected, or was watching, over the next 10 years. His observations are telling for their omissions: he focuses on electronic medical records and on payment issues — issues of enormous import, no doubt.  However, he was speaking of a world as-yet emerging: ubiquitous high-speed wireless works and (even) smaller, cheaper mobile technologies that will come.

But improvements in connected health do not need to await the day of universal 4G networks and RFID chips in our underwear. We could do more with what is available today. It requires more a change in thinking than the development of new technology.

One of the most obvious examples is to use available Web 2.0 technologies to communicate with patients and patient proxies. (more…)

Free “21st Century Caregiving” Lectures


September 9, 2010
Posted By Blog Admin | Comments (1)

On Monday September 20 in Sudbury, and Wednesday September 29 in Lincoln, learn how the new challenges and opportunities of aging in the 21st century can come together to benefit elders and those with disabilities. “21st Century Caregiving: Essentials for Caring for a Disabled or Aging Loved One” is a free lecture and community service. On the 20th, the lecture will be at the Goodnow Public Library located at 21 Concord Road in Sudbury (map here). On the 29th, at the Lincoln Public Library at 3 Bedford Road in Lincoln (map here). Both lectures start at 6:45 pm.

(more…)

Sudbury MA, Lincoln MA – 21st Century Home Care Elder Care Lectures


September 6, 2010
Posted By Jim Reynolds | Comments (0)

Deborah Bier, PhD, is Director of CCHC's Concord office

Find Out What You Should Know about Today’s Home Care!

21st Century Caregiving: Essentials for Caring for a Disabled or Aging Loved One gives you new insights to reducing the stress of caring for loved ones and improving their care.

Learn how the new challenges and opportunities of aging in the 21st century can come together to benefit elders and those with disabilities.

TOPICS INCLUDE (more…)

Hurricane Earl Emergency Planning for Elder Care Clients in Eastern Massachusetts


September 1, 2010
Posted By Dr. Deborah Bier | Comments (1)

Hurricane Earle requires emergency planning for elder care client families in eastern Massachusetts

Hurricane Earl’s will keep us guessing for another 24/48 hours about when and where landfall will occur. But Friday is a possibility, and it’s also possible that we are right in its track. Or not!

I spent 10 years with the Concord, MA Emergency Management Agency as a leader in preparedness planning and training for citizens as service to my community. Luckily, I’m able to bring that experience to Caring Companion.  Believe me – it’s far better we think these things through now than (more…)

 
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