Eldercare is a Science Not an Art

Baby boomers are aging in large numbers. Some are reaching the age and physical condition where support is necessary. Although baby boomers are one of the most affluent generations in the history of the country, the response to aging doesn’t always depend on finances.

While the senior is still in good health, there some things that should be done. Family members should have a frank conversation about their wishes for care. The conversation should also include questions about wills, living wills, durable powers of attorney for both finances and medical care, and medical releases. Due to HIPAA, unless the senior signs at each doctor and/or hospital where they are a patient, even family members may not be able to access information. Family members should also be sure they know the senior’s date of birth and social security number, information that is essential in obtaining many support services.

An updated list of physicians and medications, including dosages, should always be maintained. This list is invaluable to hospital personnel trying to decide whether an episode is medication induced or something more serious.

Make sure someone has copies of the senior’s medical insurance documents and copies of the front and back of any insurance cards and any Medicare cards. Often during a crisis the senior is unable to locate these documents.

If you live a distance from the senior, consider hiring a care manager. Information on care managers can be obtained from The National Association of Professional Geriatric Care Managers. Care managers are trained to assess a situation, make recommendations on care and coordinate resources including handling payments to caregivers.

Those who live, work and are friends with seniors should know what symptoms to be aware of. Any of the following may signal a medical problem that should be checked:

• Unsteadiness when standing
• Poor grooming; soiled clothing
• Changes in eating or cooking habits
• Reluctance to socialize
• Confusion or poor judgment
• Mishandled medications
• Unopened mail
• Poor housekeeping

Above all, stay involved and active in any care for a senior. Many will not ask for help when it is needed, even within a healthcare facility. Sadly, many are brought in with a diagnosis and no further investigation of their health is done, leaving them unable to function when in fact, they could be helped. Demand therapists provide regular reports and testing. Contact doctors directly when the senior cannot give detailed information on recent visits. Talk with everyone about any changes you notice in appetite, speech, energy or strength level, alertness, sleeping patterns, or memory until someone listens.

Everyone will get older. But no one has to grow older without dignity and integrity.