Posts Tagged: care management

When Should I Be Concerned About Elderly Appetite Loss?

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When Should I Be Concerned About Appetite Loss in Older Adults?

Appetite loss is generally concerning, but it’s especially alarming when older adults experience it. Identifying the difference between a temporary change in appetite and a more permanent change is crucial.

Learn more about why older adults lose their appetite, the factors influencing it, when it should be a concern and Corewood Care’s role in trying to treat and improve it.

Factors Influencing Appetite in Older Adults

Aging is a natural process that impacts appetite. As older adults age, their health declines, their senses, such as smell and taste, diminish, and hormonal and other physiological changes impact their appetite. Other factors that affect their appetite include:

  • Decreased well-being: Decreased emotional and psychological well-being may lead to reduced appetite.
  • Mental health: Dementia, Alzheimer’s and other cognitive impairments can affect older adults’ appetites, especially if they use certain medications.
  • Chronic illnesses: Diabetes, cancer, heart disease and other chronic illnesses may affect their hunger as treatment side effects sometimes include loss of appetite.
  • Social factors: Loneliness and isolation due to losing their significant other may lead to depression and decreased appetite.

When Should Appetite Loss Be a Concern?

Prolonged appetite loss leads to a loss of nutrients essential for everyday functioning. This can lead to reduced mobility, weight loss, dehydration, frailty, a weakened immune system and other serious health issues such as organ failure. Tracking these changes before they worsen is essential for implementing a suitable plan to increase appetite.

When appetite loss becomes a visible concern and attempts to address the issue are futile, such as trying smaller portions, finger foods, smoothies and soups, it’s best to consult professionals for assistance.

Treating Appetite Loss in Older Adults

A caregiver’s intervention can impact an older adult battling appetite loss. With the right caregiver and family support, they can return to eating healthy and balanced meals, improving their overall health. At Corewood Care, our personal caregivers commit to ensuring older adults are cared for by preparing and cooking nutritious meals and serving them.

Our personal care services assist older adults with activities of daily living (ADLs) so they can continue enjoying a comfortable quality of life. In addition to physical support and tangible services, our caregivers offer emotional support and companionship to help older adults manage their eating habits.

Choose Corewood Care to Help Older Adults With ADLs

Finding and treating the root cause of appetite loss is critical, and long-term care helps monitor and maintain a healthy appetite. Corewood Care offers care management and in-home care services to offer families peace of mind and ensure their family members are well cared for.

To discuss our services, call us at 301-909-8117, schedule a free assessment or visit one of our offices to speak to us.

When Professional Life and Personal Life Meld

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My Dual Role: The Professional and The Daughter

A good portion of my time is spent reassuring older adults and their family members that I understand what they are going through. I am a Clinical Social Worker with a 30-year career in working with older adults and their family members. The primary focus of my work has been to guide and support older adults in the aging process to improve the safety and quality of their lives. My undergrad and graduate education is in Social Work and my PhD was earned as being the daughter of a fiercely independent mother. You see, my professional and personal life often collide at this time of my life.

Understanding the Aging Process: A Social Worker’s Perspective

I have been an advocate of the rights of older adults’ wishes while being mindful of the need to provide safety measures. Social Work school taught me that a client’s right to self-determination is an ethical principle that recognizes the rights for clients to make their own choices.

Marie’s Way: The Independence of a 94-year-old

That goes out the window when dealing with my 94-year-old mom. Marie lives alone in her home of over 65 years in Ohio, she walks to her church and volunteers once a week, she does her laundry and cooks her own meals. There’s no topic regarding her safety that I discuss with her that is not dismissed in 2 minutes. My suggestions for her safety and quality of life are always met with the standard saying: “ I’m not ready”. In my professional opinion, she is very ready: for a walker, cleaning help, a move to a senior community where she can play bridge, enjoy happy hour, and talk sports, however, she believes she is not ready.

The Siblings’ Support Network: United for Mom’s Well-being

She lives life on her terms, and I continue to worry from a distance. I’m not alone in this; I am part of a group. This caring, cautious, and nervous group consists of my sisters and brother. We’re on a group text and reach out to each other often. We text to update each other and discuss ways to keep her safe and happy. When we feel a subject needs to be proposed to my mom, we turn to my brother, the oldest and her only son as she will listen to him. Last year an emergency response system was proposed after a serious fall, she rejected the idea. After a sibling conference call, Steve was elected to speak with her, she begrudgingly accepted it and now has an emergency response system.

Lessons from Care Management: The Beauty of Watchful Waiting

The majority of my career has been in the field of Care Management. This is the perfect fit for me, working with older adults in their home, over the course of time. I am honored to be a part of their life at this stage, have meaningful conversations and listen to their concerns, fears and hopes.  

I have discussed the concept of watchful waiting with my siblings and my client’s children. Staying updated on our parents and being ready to assist when they are willing to accept it. As adult children, we are first responders; ready to spring into action and be the ultimate safety net.   

Reflections on Independence in Aging

I commend all of us for navigating this stage of life. In my mind, I hear Frank Sinatra singing “I did it my way” and it makes me smile. 

The Dilemma of Independence and Safety: A Personal and Professional Take

How do we protect those who want to retain their independence and what will we want when we are their age? It is a dilemma that I understand at a professional and personal level.  

Ten COVID Scams Older Adults are Falling for Right Now

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Across the country, federal and local law enforcement agencies are warning older adults about COVID-19 scams and requesting personal information or making false promises about COVID-19 cures and test kits.

Corewood wants to make you aware of these coronavirus scams. We also want you to know that experts believe the number of new schemes will only increase over the coming months. Some of the most common scams include:

  • Individuals selling treatments for COVID-19 vaccine, cure, or insurance.
  • Online sales of high demand medical supplies such as N 90 or N95 masks.
  • Phishing calls, text messages, or emails from national or global health authorities asking for personal and/or financial information.
  • Calls or emails requesting contributions for obscure COVID-19 treatments.
  • Appeals for donations for individuals affected by COVID-19.
  • Unofficial COVID-19 apps and downloads that can potentially compromise a person’s computer or phone with malware.
  • Financial planners alleging they have “inside information” to prevent, detect, or cure COVID-19.
  • Scammers calling as contact tracers claiming the individual has been exposed to COVID-19 and needs to act quickly. They then request the person’s social security numbers, insurance information, or advanced payment for bogus COVID-19 tests.
  • Calls claiming to be from the Social Security Administration (SSA), claiming that benefits will be interrupted unless the caller provides their social security or bank account number.
  • Scammers impersonating bank employees who claim that banks are falsely limiting access to funds or alleging security issues with bank deposits.

Top TEN Tips for Avoiding COVID-19 Scams:

  • Discount claims about COVID-19 vaccine, cure, or treatment.If there is a medical discovery, it wouldn’t be reported through unsolicited emails or online ads.
  • Depend on official sources for current information on COVID-19.Review your state’s health department websites, the Centers for Disease Control and Prevention, or the World Health Organization for the latest developments.
  • Know that the safest place for your money is in the bank—your funds are physically secure and federally insured, something you don’t have when your money is outside the banking system.
  • Be on guard for phishing scams.  Do not click on links, pop-up screens, or open any attachments from sources you don’t know. NEVER share your password, account number, or PIN with anyone.
  • Investigate before donating. Be circumspect about any individual, charity, or business requesting COVID-19-related donations in cash, by wire transfer, gift card, or through the mail.
  • Keep your computers and mobile devices up to date. Using the latest security software, web browser, and operating system are your best defenses against viruses, malware, and other online threats. Turn on automatic updates to get the newest fixes.
  • Avoid bogus website links. Hackers embed malicious links into devices by tricking you into downloading malware or route users to bogus websites. Fraudulent links are often disguised by simple changes in the URL, such as www.ABC-Bank.com vs. ABC_Bank.com.
  • Enable multi-factor authentication for critical financial accounts. Multi-factor authentication is a second step to verify who you are. This often means you will receive a text message to verify your status before gaining access to a site.
  • There is a high potential for fraud presently. Be leery of any company claiming the ability to prevent, detect, or cure coronavirus.
  • Help others by reporting coronavirus scams. Contact the FBI’s Internet Crime Complaint Center at ic3.gov to report suspected or confirmed scams. The Federal Trade Commission also provides an updated list of the latest coronavirus scams at ftc.gov/coronavirus.

Have questions? Feel free to contact Mary Ann Buckley, Director of Care Management, at maryann@corewoodcare.com. We’re here to help.

Care Manager Success Story

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Years ago, we were honored to help a woman decide a move from her home into a senior living community where her sister lived. The older sister was unrelenting in telling her younger sister to move to her community and as soon as possible. She told me it was reminiscent of childhood with her older sister bossing her around.

This situation was causing a rift in the sister’s relationship, and they both were stressed. The sisters went to the same Physician who learned of the disagreement from each sister’s viewpoint. He recommended a Care Manager to help the younger sister choose a senior community based on her desires, needs, and budget.

The Care Manager met with her and reviewed all her preferences for her ideal housing type to meet her needs now and in the future. She always visited her sister and enjoyed her community but was not sure it was the one for her.

The Care Manager identified three communities that met the younger sister’s preferences, and they toured all three with an open mind. They compared each community, even making a pro and con list, and discussed the long and short-term advantages.

In the end, the younger sister chose the senior community where her older sister lived, but it was only after she had the time to look at her options and make a decision that was best for her. She felt confident that the move was the right one for her and not what her older sister wanted her to make.

At times like this, a Care Manager can provide professional, impartial guidance and options to consider. The Care Manager also assisted the younger sister with all of the steps required to sell her home, downsize, pack/move, and settle into her new home at the senior community on a different floor than her older sister.

New to Care Management? How a Care Manager Works with Clients and their Families

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Corewood’s Care Management team works with clients and their families on a wide variety of issues, health conditions, and family dynamics. You may not know about all we do, so please let me provide a brief overview of the most noteworthy tasks we undertake.

Determining Where an Older Adult Should Live

Every family’s situation is different. Some older adult clients are temporarily immobilized due to a fall or hospitalization, or one spouse has a condition that will worsen over time, such as Alzheimer’s. Can the spouse or caregiver help with bathing and dressing? Does the older adult need constant supervision or someone to check in on them occasionally?  The answers to all of these questions – and many more – will need to be taken into consideration when deciding where an older adult will live. Care Managers are trained to look for warning signs to determine if an older adult is safe living at home alone. Whether or not an older adult remains at home, there are concerns that the Care Manager will review to ensure safety.

  • Making a Home Safe – If an older adult is going to remain in at home, a Care Manager can recommend modifications to make the home safer.
  • Finding Senior Housing – If an older adult can no longer live independently, a Care Manager can assist with a move to a senior housing facility, such as assisted living or CCRC. Throughout the process, a Care Manager will evaluate a community based on the level of care a person needs now and in the future as well as consider their lifestyle.

Covering Your Legal Bases

If you, your spouse, or your parent were suddenly incapacitated, who has the legal authority to act on their behalf? A Care Manager works with older adults and their families to avoid legal red tape and make sure older adults have the right legal documents in place. They will recommend and work with an attorney to be sure there is a power of attorney, advance care directives, a will, and, if needed, guardianship.

Organizing Finances

Would you know what to do if you suddenly had to take over managing money and paying bills for your spouse or parents? Care Managers work with older adults and their families to be sure trusted individuals know where the essential paperwork is kept and how to access funds if need be. Care Managers also work with older adults to review long-term care insurance to help cover the cost for care as well as help them determine their eligibility for Medicare, Medicaid, or Veteran’s Assistance.

Managing Medical Care

Care Managers are often first called when there is a medical crisis. Care Managers are older adult’s front-line advocates who know the medical system, know the older adult, and can help provide the best care. Before a crisis occurs, a Care Manager knows an older adult’s full medical history, record all of the prescription medications, and have attended doctor visits with an older adult in the past. They know how to ask questions and bring up concerns with a doctor and can summarize and take notes of the encounter to be discussed afterward with all interested parties.

Talking About the Future

When an older adult is ill, plans for the future must be made. Holding a family meeting helps make sure everyone is informed and on the same page. Care Managers are often called upon to facilitate these difficult conversations that must take place. They work to ensure an open, honest conversation but are also prepared for resistance. The goal is to determine the older adult’s current needs, limitations, and concerns, and let them state their wishes for the future.

Coping with the Reality of Caregiving

The emotional and physical health of the lead caregiver is always a top concern for the Care Manager. They work to prevent burnout and isolation as well as provide relief time for the caregiver. A Care Manager may coordinate coverage so that the lead caregiver can get out to dinner, a movie, or a walk in the fresh air. Without such relief, the physical and mental toll can be heavy on the lead caregiver.

Care Managers are trained professionals who work with older adults to find support and resources to make their daily life more comfortable. They are especially helpful when family members live far apart because, as we age, it is imperative to have supporting eyes and ears available locally.

COVID 19 has shown that supporting an older adult is not a process that can be managed long-distance, even as in-touch as we are with cell phones, text messaging, and Zoom conferences. A relationship with a Care Manager can allow a spouse or children of an older adult to be the spouse or the children, while someone else manages the situation.

When a spouse or daughter is providing hands-on care, the quality time they have to be there emotionally for their spouse or parent is limited. A Care Manager can handle the difficult interpersonal issues, address the immediate problem, remain connected once the crisis passes, and get back involved as the situation requires it.

Call Us: (301) 909-8117