Hurricane Earl Emergency Planning for Elder Care Clients in Eastern Massachusetts


September 1, 2010
Posted By Dr. Deborah Bier | Comments (0)

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 to be surprised at the last minute!  And we’ll just hope we don’t have to use our plans.

I want to talk about everyone’s own personal and household protection, as well as how CCC serves our clients.   It’s been a very long time since we’ve had a hurricane pass directly over us, and we don’t have the practiced “chops” for preparing for one or weathering it safely.  And with the strangely warm ocean waters, there’s a lot of unknowns here.

Loss of electricity and communications, food and water supply contamination, and an inability to move from Point A to Point B due to downed trees and other debris are the usual problems encountered during and following a hurricane. Please talk with your loved ones about the upcoming possibilities.  Let them know that there are people working to keep them safe and sound. Think through the kinds of things you need to make sure are on hand to keep the household running through at least through the weekend. Food, water, a battery-powered radio, new batteries in the flashlight, enough medication to last until next week (eliminate pharmacy runs if possible), enough pet food, etc. In my experience, advanced discussions and planning help people feel more calm and secure, not more upset. (And the stories about other hurricanes our elders have been through that will no doubt be evoked can teach us a lot.  This can be a GREAT way to engage someone in conversation if you have trouble connecting with Mom or Dad – try it!)

As for Friday and Saturday caregiving schedules: if it looks on Thursday like this thing is really going to hit here on Friday, we may need to deploy caregivers early to the households where they are needed the very most, where clients really are not able to spend a day or two without care.  Since traveling to/from shifts is not advised during the hurricane, we would try – depending upon everything’s timing – to get caregivers in place before it becomes too dangerous on the roads, staying on site until it’s again safe to travel.  We would ask caregivers who wait to be relieved by next shift personnel to be prepared to stay longer, even overnight if it’s unsafe to leave.  I will be in direct contact with families and individuals who cannot manage without care – and their caregivers – to do some specific planning. Which I hope we will not need to use!

In cases where clients can go up to a couple of days without care, if it really looks like this thing is coming right to our doorstep, I will want to reschedule our visit if it is expected right during prime hurricane time.

Please see the info below from MEMA on 8/31 about having a go-bag and preparing your household, etc. I will be in touch again as the weather picture clarifies. Let’s cross our fingers that this is just a drill and – as they say so often about predicted New England weather that didn’t happen – it just goes out to sea!

FOR IMMEDIATE RELEASE                                                                    CONTACT: Peter Judge, MEMA PIO

August 31, 2010                                                                                                                                  (508) 820-2002

PREPAREDNESS IS KEY FOR HURRICANE SEASON

Threat of Hurricane Earl Reminds Families of Importance of Preparedness

FRAMINGHAM, MA – The potential threat of Hurricane Earl reinforces the importance that everyone take the proper preparedness steps.  Now is a good time to take to heart the three steps being reinforced by the President, as he proclaimed September as ‘National Preparedness Month’: Prepare a Kit, Have a Plan and Be Aware.

“Every home and business should have a stocked basic emergency supply kit that could be used for any emergency, regardless of the time of year,” states MEMA Acting Director Kurt Schwartz. “Everyone should keep certain items around the house and workplace in the event you are isolated for three to five days without power” Each kit will be unique to each family, but should include a portable radio, flashlight, extra batteries, a supply of non-perishable foods, along with bottled water, a first aid kit, extra prescription medication, and extra food and supplies for infants and pets.

“All families should develop a ‘Family Emergency Communication Plan’ with an ‘outside the area’ contact to help ensure everyone is safe. You should reach out to your local authorities to learn about your community’s potential evacuation routes and the location of possible emergency shelters,” said Schwartz. “It is always important to familiarize yourself with your Community’s Emergency Plans before an emergency situation occurs.”

Also, develop a Disaster Supply Kit ‘Go Bag’, with essentials in case you must evacuate quickly.

The Massachusetts Emergency Management Agency (MEMA) is the state agency responsible for coordinating federal, state, local, voluntary and private resources during emergencies and disasters in the Commonwealth of Massachusetts.  MEMA provides leadership to: develop plans for effective response to all hazards, disasters or threats; train emergency personnel to protect the public; provide information to the citizenry; and assist individuals, families, businesses and communities to mitigate against, prepare for, and respond to and recover from emergencies, both natural and man made. For additional information about MEMA and National Preparedness Month, go to <http://www.mass.gov/mema>www.mass.gov/mema and <http://www.ready.gov/>www.Ready.Gov. Continue follow MEMA updates on Facebook and Twitter.
-30-
Peter W. Judge
Massachusetts Emergency Management Agency
400 Worcester Road
Framingham, MA 01702-5399

Direct: 508.820-2002
24 hr.: 508.820.2000
Fax: 508.820.2030
<mailto:peter.judge@state.ma.us>peter.judge@state.ma.us

Keeping Our Clients’ Households Running


July 15, 2010
Posted By Dr. Deborah Bier | Comments (1)

For want of a nail the shoe was lost.
For want of a shoe the horse was lost.
For want of a horse the rider was lost.
For want of a rider the battle was lost.
For want of a battle the kingdom was lost.
And all for the want of a horseshoe nail.

Our caregivers are often the main shoppers for our clients. As such, we fill a very important role in their lives through maintaining their supplies. In many instances both daily and occasional home “operations” cannot go forward without necessary supplies.  If you look at the rhyme above, you’ll see how this is no minor thing. And since we are so often working the with frail, it doesn’t take very much of a missing nail to truly negatively impact the client.

(more…)

Helping, Fixing or Serving Our Clients


July 5, 2010
Posted By Dr. Deborah Bier | Comments (0)

Here is an article a social worker friend sent me about a dozen years ago.  Every so often, I come across it among my papers, taking the opportunity to re-read it… and learn from it anew.  It’s a beautiful formulation of the profound difference between helping, fixing, and serving by Rachel Naomi Ramen, MD called In the Service of Life: http://www.rachelremen.com/service.html.

Remen is one of the earliest pioneers in the mind/body holistic health movement and the first to recognize the role of the spirit in health and the recovery from illness. She’s also the author of the best-selling books My Grandfather’s Blessings and Kitchen Table Wisdom

Cargiving as “a Sense of Purpose”


June 30, 2010
Posted By Jim Reynolds | Comments (0)

Hats off to the New York Times for shining a light on the growing importance of caregivers and the role they play in keeping people safe and comfortable in their homes (see A Graying Population, a Graying Work Force). In particular, we would highlight a specific point in this article: caregiving’s ability to provide a sense of purpose for both the caregiver and the client.

At its best, professional caregiving enhances the lives of all involved.  It is not uncommon for a caregiver to come to feel almost like part of the family, and when the client lives alone, a team of professional caregivers may be the primary social contact in that person’s life. (more…)

Help Financing In-Home Care


June 26, 2010
Posted By Dr. Deborah Bier | Comments (1)

We recently met with Natasha Heimrath of Caregiver Homes, a community-based model of care for frail seniors and disabled people 16 and older to be cared for at home and in their community. The state-funded program pays caregivers – typically, but not always, a family member – who provide full-time care at home, and it supports each client and caregiver with a case management team. In some instances, this stipend allows families to bring an outside caregiver into the home for respite (relief) for the main caregiver.

Our experience suggests that many families are eligible for this program and don’t realize it. We  encourage our clients to make use of this program, and have contacted those who we think may be eligible to put them in touch with Natasha.  We are happy to facilitate this relationship and will work cooperatively with Caregiver Homes any time we serve clients concurrently.

To be covered by the Caregiver Homes program, clients must be eligible for Medicare/MassHealth or be eligible for a “Frail Elder Waiver” (which has a higher income allowance than does Medicare). The caregiver to receive the stipend may not be a legal guardian or spouse, and does not need to be related to the client.

(more…)

Optimism Connected to a Stronger Immune System


June 25, 2010
Posted By Dr. Deborah Bier | Comments (0)

Many wellness practices and activities are designed to increase positive affect (among other results), and as such we feel our wellness focus here at CCC is therefore crucial to our clients’ and caregivers’ health on all levels. While some folks think that wellness is just a “nice extra”, studies such as the one below show how absolutely vital wellness is for creating, improving and maintaining our health.

Optimistic Expectancies and Cell-Mediated Immunity: The Role of Positive Affect,” published by the Association for Psychological Science, is just the latest article showing the connection between attitude and health. In short: increases in positive cellular immune factors were shown to correlate directly with increased levels of optimism. (more…)

How to Avoid Going Back to the Hospital


June 21, 2010
Posted By Jim Reynolds | Comments (0)

A recent article in the New York Times caught my eye — Aftercare Tips for Patients Checking Out of the Hospital. The Times cites among other statistics that 20% of Medicare patients return to the hospital within 30 days of being discharged.  That astonishingly high percentage drives millions of dollars in unnecessary medical expense, and greatly reduces the quality of life for patients who might have stayed healthy at home.

At CCC, our goal is to drive that number close to zero within our client population.  We do it in two ways: a focus on wellness and using cutting edge technology to help confirm compliance with plans of treatment.

(more…)

Free Talk: Helping Your Loved One Age Well


Posted By Blog Admin | Comments (0)

Essentials to Good Planning:

A Health and Legal Perspective to Helping Our Loved One Age Well

GOODNOW LIBRARY,
21 Concord Road, Sudbury, MA (map here.)

Tuesday, June 29, 2010 — 7-9 PM

Get the facts from Stuart Hamilton, an Elder Law Attorney (www.StuartHamiltonLaw.com), Linda Smith, a Certified Professional Geriatric Care Manager and Independent Registered Nurse (www.mweldercare.com), and Deborah Bier, PhD, director of a local home care agency (www.CaringCompanion.Net).

They will educate and answer questions about the many legal, safety, activity, housing, caregiver support and care options available as people age.

RSVP: Linda Smith, RN, BSN, CMC, 508-962-0965

Providing Effective Encouragement


June 16, 2010
Posted By Dr. Deborah Bier | Comments (0)

As we move through life’s challenges, it’s important to give encouragement and affirmation to both ourselves and others.  A popular method is to use affirmations, positive statements to help create positive outcomes.  For example, upon rising in the morning, “I will have a great day today.”

I’ve always been a bit standoffish about the use of positive affirmations.  For some reason, they have always seemed to me like convincing myself or others of something, rather than working towards the desired outcome. While I’m all over having an optimistic point of view every day, reciting affirmations just doesn’t somehow cut it for me… nor has it for many of my patients/clients. The whole thing is often accompanied by a lot of “if you’re not talking positive all the time, you’re messing up your life,” kind of trash talk… hardly positive, but that’s part of the baggage the practice of positive affirmations all too often drags along. (more…)

Caregiver Workshop: Home Safety for the Cognitively Impaired Older Adult


May 14, 2010
Posted By Dr. Deborah Bier | Comments (0)

Presented by Michele Hughes, RPT
Pro-Active Eldercare
Wednesday, June 9, 20106:30 – 8:00 pm

The workshop will include:

  • Identifying specific fall hazards in each participant’s home environment
  • Tangible solutions and management techniques for home safety
  • The opportunity for participants to learn and practice safe guarding techniques
  • Information on community resources

Hosted by Cooperative Elder Services, Inc., 7 Chamberlin Drive, Concord, MA (map here). This program is free of charge and light refreshments will be served. Pre-register with Pat Oliphant at 978-318-0046 or p.oliphant@elderdayservices.com. Walk-ins  are welcome. Parking is available at Cooperative Elder Services and Newbury Court. This event is funded by The Tufts Health Plan Foundation, Inc.

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