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Making Choices

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Making Choices Guide two
Jeanette Colbert
LTC/315
August 18, 2014
Tomeka Davis

Making Choices Guide two

Making choices whether it be elderly individuals, friends, families or loved ones these are difficult decisions and should be made with your eyes wide open and to do that you would need to find out some facts. I hope this guide can lead you in the direction to do just that.

There are two different types of care such as informal care and formal care. I look at these phrases different than the true meanings. Informal care is where the families, loved ones or friends are providing some type of care whether it be directly or indirectly for example you have a family member with a recent illness and they live alone but you want to help by being a caregiver by assisting with bathing and dressing them as needed now that would be direct care and the true definition of informal care because this will not only affect the individual but the whole family.
The support system that comes into play is vital to not only the individuals but also the friends and families. Social support systems are great to have but when you are in a facility it too needs to be welcoming for example part of the available options that affect your social support could be According to "Taking Charge Of Your Health & Wellbeing" (2014), " Social support can be enhanced by providing waiting rooms and lounges with comfortable furniture that can be arranged as desired, designing patient rooms to accommodate visitors, and making it comfortable for visitors to stay overnight.” (Enhance social support). Individuals need to have more than one support person because one person can easily burn out leaving you with no support system. Each individual that is in one’s support system may have something different to bring to the table for example one could be for transportation to get the individual to medical appointments while another support person could be there to read your mail to you or fill out paperwork. Don’t be alarmed if there is resistance in the beginning from someone in the elderly population when you are trying to help support them many still don’t know about getting the help or want the help because they are independent individuals.
There are different variables that can affect environmental options and that could have affect an individual due to sensitivity that can affect them individually or their chronic illness such as a person that smokes or someone that uses aerosol sprays that could affect someone with a respiratory disease, or just plain loud noises in and around a facility According to "Taking Charge Of Your Health & Wellbeing" (2014),”Noise causes stress (as evidenced by increased heart rate and blood pressure and reduced oxygen levels in the blood in both adults and babies) and is related to adverse medical outcomes. Good design can reduce noise from paging systems, equipment, alarms, roommates, and staff by reducing the sources and by increasing sound absorption.” (Reduce environmental stressors such as noise, glare, and poor air quality).
The community based programs are beneficial to staying as independent as possible. The programs that are offered in and around communities focus on the health and wellness of individuals as well as the prevention programs. These programs focus on diet, nutrition, the mental state of individuals by addressing depression, and the physical activity of those that are in the elderly population as well as fall prevention. However, According to "National Council on Aging" (n.d.), “CDSMP is a low-cost program that helps individuals with chronic conditions learn how to manage and improve their own health, while reducing health care costs. The program focuses on problems that are common to individuals dealing with any chronic condition, such as pain management, nutrition, exercise, medication use, emotions, and communicating with doctors (What is the Chronic Disease Self-Management Program?). Depending on the state you are from you can find someone with programs that have Chronic Disease Self-Management Programs (CDSMP for short).
There are different variables that must be considered when it comes to couples who enter a facility together or separately such as financial needs and assets that need to be taken care of. Many times there needs to be an attorney that will get involved with the help of the individual or family members for the individuals protection things may need to be transferred in order for qualifications such as Medicaid or Medicare. Dickey (2014), " While spending down your assets, you can spend your money on anything, not just on your care, but you cannot give your resources away for less than fair market value (for example, you can't give your vacation house to your children so that you'll qualify for Medicaid). Medicaid will look back five years to see whether you gave away anything for less than fair market value during that time.” (Asset Transfers). Variables that caregivers and families need to also consider would be retaining an attorney or some type of legal assistance regarding the medical needs, resources, income and assets of the individual. Plan of care for couples or individuals should be put into place when entering a facility and communication needs to be a constant among all involved.

References
Taking Charge of Your HEALTH & WELBEING. (2014). Retrieved from http://www.takingcharge.csh.umn.edu/explore-healing-practices/healing-environment/what-impact-does-environment-have-us
Dickey, E. (2014). Nolo Law for all. Retrieved from http:// http://www.nolo.com/legal-encyclopedia/when-will-medicaid-pay-nursing-home-assisted-living.html
NCOA National Council on Aging. (n.d.). Retrieved from http://www.ncoa.org/press-room/fact-sheets/chronic-disease.html

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