Role of Caregiving
These individuals help with personal care, dressing, feeding, toileting, helping ambulate (ADLs); medical care (med management, BP,
... [Show More] oxygen tanks); organize doctor's appts, manage finances, & deal with daily household tasks (IADLs); emotional support; very knowledgable about their condition & needs, and often become their advocate
True or False: caregivers can be informal who are family or friends who have no formal training or caregivers can be hired from companies who are trained.
True
Effects of Caregiving
- Higher costs & financial difficulties
- May be unable to work full time or hold down a job altogether
- Their employers don't have adequate policies in place to support them
- Sacrifice their own health & well-being in order to care for their loved ones
- Spend so much time caring for loved ones that their family & relationships can suffer
What assessments are used when treating caregivers?
Caregiver self-assessment questionnaire
Most caregiver assessments screen for what?
stress, burden, anxiety, and other psychological effects of caregiving
Can you bill for the time spent treating your client's caregiver?
Yes.
What conditions must be met in order to bill for the treatment of the caregiver?
Client must be directly involved in the caregiver training. This can include medication management, transfers, dressing, etc.
therapist is training them on how to perform the activities
What interventions are used for caregivers?
- Energy conservation, psychosocial factors, prioritizing roles, time-management
- Create documentation of instructions for home focused towards the caregiver's needs and abilities
Define Hospice
- encompasses a philosophy of care for individuals of any age with life-limiting illnesses for whom further curative measures are no longer desired or appropriate.
- focuses on symptom control and meeting the emotional, social, spiritual, and functional needs of the client and family
Define Palliative Care
- an approach that improves the QoL of the patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering
- initiated at any point in the course of the client's illness
- Curative care interventions also may be used
How do you assess hospice patients?
- Often referred by an a doctor and we can advocate for our services
- Client-centered approach to establish a relationship to facilitates dialogue & appropriate intervention priorities of occupational & functional areas
- QoL assessment tools can also be appropriate
What are some assessments used when treating hospice patients?
- Individual Prioritized Problems Assessment (IPPA)
- ADL Interview (ADL-I)
- Canadian Occupational Performance Measure (COPM)
- Assessment of Motor and Processing Skills (AMPS)
- Time-use diary
- Qualitative interviews
What interventions are used for the treatment of hospice patients?
- Fatigue management
- Care of lymphedema in collaboration with physical therapy
- Compensatory strategies (including home modifications & assistive technologies)
- Education of patient, caregivers & health care professionals (transfer, relaxation techniques, ergonomics & lifestyle)
- Training daily activities
- Providing opportunity for enjoyment
- Support both patient & families - trained in enhancing participation in meaningful activities, sensory stimulation, family & staff edu, positioning, & emotional & spiritual needs
Define Restraints
any method, drug or medication, physical or mechanical device, material or equipment, that immobilizes or reduces access to move any part of the body freely, particularly when used to restrict or manage a client's behavior or movement [Show Less]