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145 pages

English

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Description

At some time, most families will need to provide home care for an aging family member who is ill or disabled. While home caregiving provides many benefits, it takes careful planning, support, and patience.

The American Medical Association Guide to Home Caregiving provides the information you need to take the best possible care of an elderly, ill, or disabled person in a home setting. Written by experts from the American Medical Association, the book explains such essentials as how to:
* Plan and arrange a room to adapt to a loved one's needs
* Give medications, maintain hygiene, monitor symptoms, deal with incontinence, provide emotional support, and relieve boredom
* Choose a home healthcare provider
* Pay for home healthcare, including Medicare and Medicaid, and long-term care insurance
* Care for a person with Alzheimer's disease or a terminal illness
* Choose between alternative living arrangements such as assisted living facilities or nursing homes
* Take care of yourself, the caregiver

With advice that touches both the physical and the emotional aspects of caregiving, this supportive, practical handbook will help make the experience as successful and rewarding as possible for you and your loved one.

For more than 150 years, the American Medical Association has been the leading group of medical experts in the nation and one of the most respected health-related organizations in the world. The AMA continues to work to advance the art and science of medicine and to be an advocate for patients and the voice of physicians in the United States.
INTRODUCTION.

1. PREPARING FOR HOME CARE.

Setting priorities and goals.

Planning and arranging the room.

2. BASIC CAREGIVING SKILLS.

Giving medications.

Providing a healthy diet.

Pressure sores.

Hygiene.

Toilet needs.

Symptoms to monitor.

Bed making.

Relieving boredom.

3. SPECIALIZED CAREGIVING SKILLS.

Wound care.

Incontinence.

Managing intravenous medications.

Risks of immobility.

Dealing with specific illnesses.

4. CHOOSING A HOME HEALTH CARE PROVIDER.

Visiting nurse associations.

Social service agencies.

Medication and infusion therapy services.

Community and volunteer organizations.

Friends and relatives.

Drugstores and medical supply companies.

Hospice.

5. PAYING FOR HOME HEALTH CARE.

Medicare.

Medicaid.

Department of Veterans Affairs.

Long-term care insurance.

Workers'Compensation.

CHAMPUS.

Community and volunteer organizations.

6. REHABILITATION SERVICES.

Physical therapy.

Occupational therapy.

Vocational therapy.

Speech therapy.

Respiratory therapy.

7. CARING FOR AN OLDER PERSON WHO LIVES ALONE.

Modifying the home environment.

Preventing falls.

Personal emergency response systems.

Providing a healthy diet.

Medications and older people.

Dealing with constipation.

Hygiene.

Home temperature.

Depression.

8. CARING FOR AN OLDER PERSON WHO NEEDS LIMITED ASSISTANCE.

Geriatric care managers.

Keeping legal and financial affairs in order.

Senior centers.

Adult day care centers.

Continuing care retirement communities.

Assisted living facilities.

Telephone check-in and reassurance.

Area Agencies on Aging.

9. PROVIDING LONG -
TERM CARE.

Getting out of bed.

Preventing pressure sores.

Preventing the arms and legs from stiffening.

Moving an immobile person in bed.

Positioning an immobile person in bed.

Transferring an immobile person.

Dealing with memory problems.

10. NURSING HOMES.

Deciding what is best for your loved one and you.

Monitoring your loved one's care.

Paying for care in a nursing home.

11. CARING FOR A PERSON WHO HAS ALZHEIMER'S DISEASE.

Learning about the disease.

Safety.

Finding a loved one who wanders off.

Recreational activities.

Early-stage Alzheimer's disease.

Middle-stage Alzheimer's disease.

Late-stage Alzheimer's disease.

Support groups for the caregiver.

12. CARING FOR A PERSON WHO IS TERMINALL ILL.

Advance directives.

Hospice.

Relief of symptoms.

Pain control.

Anxiety and agitation.

Dying and death.

13. CARE FOR THE CAREGIVER.

Taking care of yourself.

Asking for and accepting help from others.

Protecting your back.

Stress relief for caregivers.

What you can do to help a caregiver.

RESOURCES.

INDEX.

Sujets

Health Care Issues

Asociación Médica Estadounidense

Health

American Medical Association

Fitness

Informations

Publié par	Turner Publishing Company
Date de parution	17 juillet 2007
Nombre de lectures	0
EAN13	9780470231333
Langue	English

Informations légales : prix de location à la page 0,0798€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

Guide to Home Caregiving
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Guide to Home Caregiving
Angela Perry, MD
Medical Editor

JOHN WILEY SONS,INC.
New York Chichester Weinheim Brisbane Singapore Toronto
Copyright 2001 by American Medical Association. All rights reserved
Published by John Wiley Sons, Inc.
Design and production by Navta Associates, Inc.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 750-4744. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley Sons, Inc., 605 Third Avenue, New York, NY 10158-0012, (212) 850-6011, fax (212) 850-6008, email: PERMREQ@WILEY.COM.
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional person should be sought.
The recommendations and information in this book are appropriate in most cases; however, they are not a substitute for medical diagnosis. For specific information concerning a medical condition, the AMA suggests that you consult a physician. The names of organizations, products, or alternative therapies appearing in the book are given for informational purposes only. Their inclusion does not imply AMA endorsement, nor does the omission of any organization, product, or alternative therapy indicate AMA disapproval.
This title also available in print as ISBN 0-471-41409-3.
Some content that appears in the print version of this book may not be available in this electronic edition.
For more information about Wiley products, visit our web site at www.Wiley.com .
Foreword
At one time or another, most families find themselves making decisions about providing care for a loved one at home. Many older people provide care for a spouse who is ill, and increasing numbers of adult children are caring for aging parents. The American Medical Association Guide to Home Caregiving provides hands-on, step-by-step practical advice for the home caregiver. The book addresses the general aspects of caregiving as well as the specific tasks required for caring for a person with a particular illness such as Alzheimer s disease.
If you are considering being a caregiver, you will probably want to know the extent of the commitment you are making, the amount of work it will involve, the tasks and skills you will need to learn, and the tasks that you should delegate to healthcare professionals. The American Medical Association Guide to Home Caregiving helps you make this important decision and gives you the support and encouragement you may need. We believe that the more information you have about caregiving, the more effectively you will be able to provide the care-and the more enriching and gratifying the experience will be for both you and the person you are caring for.
The American Medical Association offers you this information as part of a continuing effort to provide you and your family with practical, up-to-date medical information. You can find useful health information by visiting the AMA Web site at http://www.ama-assn.org ; if you are looking for a doctor or want to find out if a doctor is board certified, click on Doctor Finder, where you can search for information by medical specialty or by a doctor s name.
The American Medical Association wishes you and your family the best of health.
American Medical Association
The American Medical Association Robert A. Musacchio Senior Vice President, Business and Membership Anthony J. Frankos Vice President, Business Products
AMA Press Mary Lou S. White Editorial Director Patricia Dragisic Senior Managing Editor Donna Kotulak Managing Editor Steven Michaels Senior Editor Janis Pinson Forgue Copy Editor Claudia Appeldorn Copy Editor Mary Ann Albanese Image Coordinator Dawn Goldammer Image Coordinator Reuben Rios Editorial Assistant Roger Banther Editorial Assistant
Medical Editor
Angela Perry, MD
Writers
Gina Freed, RN, MSN
Karen Titus
Illustration
Rolin Graphics Inc.
Acknowledgments Joanne Schwartzberg, MD Medical Reviewer Rosalie Guttman Reviewer Alzheimer s Association
Contents
INTRODUCTION
1. PREPARING FOR HOME CARE
Setting priorities and goals
Planning and arranging the room
2. BASIC CAREGIVING SKILLS
Giving medications
Providing a healthy diet
Pressure sores
Hygiene
Toilet needs
Symptoms to monitor
Bed making
Relieving boredom
3. SPECIALIZED CAREGIVING SKILLS
Wound care
Incontinence
Managing intravenous medications
Risks of immobility
Dealing with specific illnesses
4. CHOOSING A HOME HEALTHCARE PROVIDER
Visiting nurse associations
Social service agencies
Medication and infusion therapy services
Community and volunteer organizations
Friends and relatives
Drugstores and medical supply companies
Hospice
5. PAYING FOR HOME HEALTHCARE
Medicare
Medicaid
Department of Veterans Affairs
Long-term care insurance
Workers Compensation
CHAMPUS
Community and volunteer organizations
6. REHABILITATION SERVICES
Physical therapy
Occupational therapy
Vocational therapy
Speech therapy
Respiratory therapy
7. CARING FOR AN OLDER PERSON WHO LIVES ALONE
Modifying the home environment
Preventing falls
Personal emergency response systems
Providing a healthy diet
Medications and older people
Dealing with constipation
Hygiene
Home temperature
Depression
8. CARING FOR AN OLDER PERSON WHO NEEDS LIMITED ASSISTANCE
Geriatric care managers
Keeping legal and financial affairs in order
Senior centers
Adult day care centers
Continuing care retirement communities
Assisted living facilities
Telephone check-in and reassurance
Area Agencies on Aging
9. PROVIDING LONG-TERM CARE
Getting out of bed
Preventing pressure sores
Preventing the arms and legs from stiffening
Moving an immobile person in bed
Positioning an immobile person in bed
Transferring an immobile person
Dealing with memory problems
10. NURSING HOMES
Deciding what is best for your loved one and you
Monitoring your loved one s care
Paying for care in a nursing home
11. CARING FOR A PERSON WHO HAS ALZHEIMER S DISEASE
Learning about the disease
Safety
Finding a loved one who wanders off
Recreational activities
Early-stage Alzheimer s disease
Middle-stage Alzheimer s disease
Late-stage Alzheimer s disease
Support groups for the caregiver
12. CARING FOR A PERSON WHO IS TERMINALLY ILL
Advance directives
Hospice
Relief of symptoms
Pain control
Anxiety and agitation
Dying and death
13. CARE FOR THE CAREGIVER
Taking care of yourself
Asking for and accepting help from others
Protecting your back
Stress relief for caregivers
What you can do to help a caregiver
RESOURCES
INDEX
Introduction
At one time or another, most families will need to provide home care for a family member who is ill, aging, or disabled. Sometimes, health problems such as the flu are temporary and familiar. At other times a loved one s health problems, such as Alzheimer s disease or a terminal illness, may be extremely difficult to manage. Whenever possible, a person who is ill, disabled, or recovering from surgery or serious illness should be cared for in his or her own home. Familiar surroundings can have a positive effect on a person s sense of well-being, which can lead to a quicker, more complete recovery or, in cases in which recovery is not expected, a better quality of life.
Home healthcare is one of the fastest-growing segments of the healthcare industry in the United States. A large portion of this care is provided to older Americans-those 65 or older- whose numbers are expected to increase dramatically in the next few decades. Many younger people, too, may need some type of home healthcare, either for the long term or short term. For example, a person recovering from an injury or surgery may require home healthcare for a few weeks or months. People who have chronic diseases, or who are disabled or terminally ill usually require long-term or, in some cases, permanent care.
In the past, many conditions required long-term hospitalization, but this is neither practical nor affordable today. Healthcare providers and insurers, eager to cut the rising costs of care, have found that, in many cases, it is more practical and far less costly to shift the focus of care to the home. In addition, advances in technology and improvements in home caregiving techniques have made it easier to provide high-quality care away from a centralized healthcare facility. As a result, home caregiving has become a common pract