Archive for June, 2011

Celebrate Your Successes

Thursday, June 30th, 2011

 

Alliance Care Advisors (a division of Alliance Home Health Care) are registered nurses who do not provide clinical care, but help manage and navigate the client’s health care system and services. We can offer assistance with anything from doctor’s appointments to managing home health services. Below is one of the many successful stories from our RN Sandra Dietrich.

Celebrate Your Successes

Overseeing the care of a loved one with dementia at home is challenging. Couple that with the care of someone with extreme behavioral problems and it becomes nearly impossible. It was this scenario that caused Alice to transfer her 56 year old husband to a long term care facility. She soon learned that her choice in facilities was not the best as they quickly transferred him to the behavioral unit at the hospital when things got tough. At one point they refused to take him back and the hospital was unable to secure placement related to his volatile behavior. It was then that the brother secured a geriatric care manager to become involved.

The care advisor began to work with various staff as well as the physicians providing care, and soon had a full understanding of the case. She learned that there were many areas needing attention. The couple was quickly running out of finances, the wife was stressed to the point of failing health and although George did well in an inpatient environment, his behaviors escalated when he was returned to the dementia unit. Using a team approach, a facility was found that specialized in dementia care. George would be in a smaller unit and have staff available that received ongoing training in the ABC’s of providing specialized dementia care for him. George moved in and weekly conferences with the wife, staff and care advisor provided oversight of his care. As problems arose they were dealt with promptly to prevent re-hospitalization. The care advisor’s awareness of community resources caused her to seek the assistance of a caseworker to complete paperwork for a special needs grant to help pay for past bills as well as the provision of a state medical assistance program to pay for his ongoing care. This was accomplished within a few weeks. Using her counseling skills to assist the wife, Alice soon was able to sleep again.

Over the course of the next year the team worked to provide the best care possible for George’s ever changing dementia needs. A year had passed when a shift in the staff and care at the facility began to affect George’s mood. His behavioral problems increased and the neuro-psych specialists suggested electric shock treatments. Having exhausted all avenues of medication intervention, the wife chose to try the treatments. They had a positive effect on George and he became stable again. However, when George had a fall with a transfer to the ED for treatment, the facility refused to take him back. It was at this point that the care advisor was able to advocate for the client’s rights. The case worker and the ombudsman were brought onto the team and they were able to make sure George was returned to his home until another, more appropriate home was found. With her knowledge of group home environments, the care advisor began searching for a smaller and quieter environment for George. Within the week, a home of only 4 residents with needs similar to George was found. The nurse manager assessed George and believed he could make a difference and accepted him. It has been five months and George is thriving. He is receiving one on one care that is structured and he is responding very well to the loving environment. He is beginning to give one word answers and is reaching out to shake a hand or stroke a back. Alice has a peace she has not had in a long time and knows that this is the best answer for her husband. She knows that this can change readily; however, she also knows there is someone overseeing his care that has the knowledge and skill set to deal with whatever problems arise.

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Alzheimer’s Survey

Wednesday, June 22nd, 2011

The Governor’s Task Force on Alzheimer’s Disease has been charged with developing a State Plan for Alzheimer’s. The Task Force has met in March and April, and will meet the last Friday in June, July, August, September and October. We are pleased to announce that a survey tool is now available for us to gather statewide input. Please take a few minutes to complete the survey, and share the website with friends, clients, students and any organizations/individulas you think would be interested. The site is:

https://www.surveymonkey.com/s/HYCNDPG

Thank you!!

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