Explore " #seniorcare" with insightful episodes like "Can’t Move On…", "Missing My Mom...", "Where The (Bleep) Have I Been?", "Mom on Lockdown" and "Successful Aging 101 with Byron Cordes (Reupload)" from podcasts like ""The Ramblings of an Insomniac", "The Ramblings of an Insomniac", "The Ramblings of an Insomniac", "The Ramblings of an Insomniac" and "Talk Law Radio Podcast"" and more!
I can't seem to move on. What's keeping me up? My mom's death. Guilt and anger have consumed me. I blame myself and our government for the deaths of many. I will never forgive the Democratic party for their role in Covid. People died alone and scared. Families were kept away from their loved ones, while they died alone. The thought of that has kept me up more than anything...
What's keeping me up? Missing my mom. Mother's day has came and went. Going through all the, "firsts," without my mom. First birthday. First Mother's Day, etc. The fact I have PTSD and a lot of anger toward our government for keeping us apart. The fact my mom and many other people, had to die alone and scared due to Covid policies. No one should have to die scared and alone. I haven't been able to move on or get over our government keeping me away.
I'm a hot mess...the end :-)
The assisted living facility mom lives, is on lockdown...AGAIN! My mom is calling me in tears, scared & anxious.
Tune in for our new episode and guest Byron Cordes of Sage Care Management who will help us understand that planning for your senior years not only effects you but could save financial/mental/emotional strain on your family. “I am passionate about educating seniors and their families to find all the options they need for successful aging. Just as important is to weed out what is not relevant to them by narrowing the clutter and misinformation they may find. A personal passion is how dementia affects seniors ad their families. We need appropriate training and viable care options for these most vulnerable citizens.” Twitter: @sagecare Facebook: @SageCareManagement Web: http://www.sage-care.com/ Short Biography for C. Byron Cordes, LCSW, C-ASWCM, CMC Byron is recognized as one of the nation’s leading experts in Aging Life Care, derived from over 30 years in the social work field. His writings and interviews on geriatrics, dementia and caregiving have been published nationally. He received his Masters in Social Work from the Worden School of Social Services at Our Lady of the Lake University and a Bachelor of Science in Psychology from Oklahoma State University. Byron is a Licensed Clinical Social Worker in the state of Texas and holds certifications in Social Work Case Management as well as Care Management. He served as an Assistant Professor at Our Lady of the Lake University in San Antonio, is a Fellow of the Leadership Academy of the Aging Life Care Association, and is a member of the National Association of Social Workers. In 2018, Byron was appointed to the Texas Council on Alzheimer’s Disease and Related Disorders by the Texas Speaker of the House. He served as the 2012 President of the Aging Life Care Association™ and is a Past-President for the South Central Chapter. He additionally serves on several boards including the National Academy of Certified Care Managers, the South Texas Adult Protective Services Community Board, and the San Antonio & South Texas Chapter of the Alzheimer’s Association.
See omnystudio.com/listener for privacy information.
No Christmas for the elderly. I discuss quarantine during Christmas in assisted living facilities.
Today I discuss dementia and how Covid has affected the elderly population.
Tom and Stacey discuss the role of a guardian ad litem, requirements and qualifications, roles and responsibilities, and important things to know when hiring a professional guardian.
Stacey Bollinger
Halo Guardianship Services
Certified Professional Guardian in the State of Washington
If someone wanted to learn more about guardianship…
Today we are going to spend some time discussing medication administration. Many times entry into the senior healthcare system is a result of errors in medication administration. Perhaps failure to take the prescribed medication can result into a trip to your physician’s office or more often the emergency room. Tom discusses options using the Hero Medication system with Joey Neal, Vice President with HERO.
To learn more about the HERO, visit www.herohealth.com - use wallpaper50 to save $50 off the initiation fee for signing up with HERO.
A portion of this program has been sponsored by Joe at F1 For Help. F1 For Help, for all your computer related issues in and around the North Idaho Region.
Corey Kennan from Home Instead Caregiving joined Tom for a discuss on the option to bring a caregiver into the home to help with day-to-day living. Tom and Corey touch on some critical things to consider when hiring an employee to help with you or your parents.
A portion of this podcast was sponsored by F1 For Help, visit f1forhelp.net for more information and to support our sponsor.
Understanding the person you are potentially hiring to provide care for a loved one is one of the most important decisions you will make. Tom and Shanti discuss things you should look out for when considering hiring someone.
A portion of this podcast was sponsored by F1 For Help, visit f1forhelp.net for more information and to support our sponsor.
Tom and Shanti discuss the important considerations when hiring a caregiver to take care of a loved one. From costs, paying practices, insurance, and legal matters; understanding the process of hiring a caregiver is very important.
A portion of this podcast was sponsored by F1 For Help, visit f1forhelp.net for more information and to support our sponsor.
A great fiduciary can provide valuable meaningful help at important time of your life. Tom and John discuss the important aspects of this critical role for seniors as they age as well as pitfalls to avoid senior exploitation.
A portion of this podcast was sponsored by F1 For Help, visit f1forhelp.net for more information and to support our sponsor.
Tune in for our episode and guest Byron Cordes of Sage Care Management who will help us understand that planning for your senior years not only effects you but could save financial/mental/emotional strain on your family. “I am passionate about educating seniors and their families to find all the options they need for successful aging. Just as important is to weed out what is not relevant to them by narrowing the clutter and misinformation they may find. A personal passion is how dementia affects seniors ad their families. We need appropriate training and viable care options for these most vulnerable citizens.” Twitter: @sagecare Facebook: @SageCareManagement Web: http://www.sage-care.com/ Short Biography for C. Byron Cordes, LCSW, C-ASWCM, CMC Byron is recognized as one of the nation’s leading experts in Aging Life Care, derived from over 30 years in the social work field. His writings and interviews on geriatrics, dementia and caregiving have been published nationally. He received his Masters in Social Work from the Worden School of Social Services at Our Lady of the Lake University and a Bachelor of Science in Psychology from Oklahoma State University. Byron is a Licensed Clinical Social Worker in the state of Texas and holds certifications in Social Work Case Management as well as Care Management. He served as an Assistant Professor at Our Lady of the Lake University in San Antonio, is a Fellow of the Leadership Academy of the Aging Life Care Association, and is a member of the National Association of Social Workers. In 2018, Byron was appointed to the Texas Council on Alzheimer’s Disease and Related Disorders by the Texas Speaker of the House. He served as the 2012 President of the Aging Life Care Association™ and is a Past-President for the South Central Chapter. He additionally serves on several boards including the National Academy of Certified Care Managers, the South Texas Adult Protective Services Community Board, and the San Antonio & South Texas Chapter of the Alzheimer’s Association.
See omnystudio.com/listener for privacy information.
The demand to stay in your home is growing because Baby Boomers are more independent as a generation. They demand more independence, they demand to stay at home. So Home health services have been growing like crazy over the last 15 years. Tom and Greg Pang discuss options for seniors.
Greg Pang, President & CEO
Community Home Health & Hospice
www.chhh.org
has served with Community since September 2005. A native of Washington State, he has almost 30 years’ experience providing compassionate, community-based care. Greg’s prior experience included home health and hospice services provided by Good Samaritan Home Health & Hospice in Puyallup, WA and Group Health Cooperative in Seattle, WA
Greg earned a bachelor’s degree in speech communication and a master’s degree in health administration at the University of Washington (Seattle, WA). Certified as a home/hospice care executive, Greg is published in professional journals and has presented at national, state and local conferences. He is passionate about providing community-based services to the growing elderly population so they may “age in place” and remain in their homes as long as possible.
Greg serves on the board of the Home Care Association of Washington.
In her second podcast Nurse Practitioner Mary Buckland discusses the risk of falls and prevention, proper nutrition, hygiene and weight loss, wandering and isolation. Nurse Buckland in addition offers meaningful suggestions to improve quality of life.
Senior Nurse Practitioner Mary Buckland
My contact info is mary@mhpnw.org
Show Transcript
Miranda Hamilton 0:00
Welcome to it's just wallpaper, a podcast dedicated to providing solutions for seniors and families dealing with life changing health and living conditions. Your host Tom Deutsch is a graduate of Columbia University School of Public Health and administrative medicine. Tom brings 43 years of executive experience working for the care and well being of senior citizens with credentials and licenses as a nursing home administrator, life insurance agent with a long term care endorsement, professional guardian and court appointed guardian ad litem in over 1500 cases. Tom brings a lifetime of knowledge to help you and your family make the best decisions you can. And now from our studio in Coeur d'Alene, Idaho, here is Tom Deutsch
Tom Deutsch 0:42
over the course of my career working in all venues of long term care. Time after time, I witnessed important decisions being made based upon impulse and non essential factors. Welcome to it's just wallpaper where my guests and I aim to provide our listeners with thoughtful information and resources to enable them to make the best decisions the first time when we visit our clinician or specialist as we age, it becomes increasingly more important that we be good historians of our health record, or can rely upon someone who is when I used to accompany my parents to physician appointments. I was amazed at what they told him and what they simply did not recall. Joining us today for a second podcast is nurse practitioner Mary Buckland. Mary Buckland is founder and president of mobile health care providers Northwest. She has extensive experience in internal medicine, family health care, urgent care, for ology hospice and palliative care. Mary, I want to thank you very much for coming back with us on this program.
Mary Buckland 2:04
Thank you for having me.
Tom Deutsch 2:06
on previous program, we talked about core comorbid factors that should be considered in this COVID-19 atmosphere and the impact it can have on the elderly. We also emphasize the need to have a good story and present when visiting a physician. Mary also discussed the need for clear and concise state planning documents for power of attorney and Advanced Directive. In this previous broadcast, we also talked about medication management. And now I'd like to talk about falls and the dangers that they pose to our seniors. What are your concerns with falls
Mary Buckland 3:00
Falls in seniors in and of themselves really increase the risk of mortality. Anytime somebody breaks a hip that can increase their mortality, even more. So the key to falls and reducing mortality is the key to is is the key to reducing or preventing falls in our community here in Vancouver worked very passionately on reducing fall risk in our seniors and before covid HIV we were constantly sharing information among many of the eldercare aspects of the conceit community to make sure we reduce those walls. A
Tom Deutsch 3:44
lot of our seniors, great great a majority of our seniors are not living in facilities and are living at home or in retirement centers. So what services are out there that can analyze and look at potential risks for seniors in this environment?
Mary Buckland 4:02
Very good question. Most physical therapy, home health physical therapy departments or programs will send us physical therapists out or an occupational therapist and they can look at the home and they can identify what areas or what things increase the seniors fall risk and they can work on making sure that the home environment is as safe as possible in reducing hazard of trips and slips and making sure that those obstacles are removed from the home to help reduce that risk.
Tom Deutsch 4:42
So what would be some examples of what I'm thinking about or throw rugs that are in the house? Obviously I you know, possibly if there's a two story home to try to try to move somebody downstairs so the stairs are not In the way you're presented danger, if possible, obviously, that's not always the case. But people should take a good hard look at what's on the inside. To prevent that various serious fall, that could be a best Sentinel event. For the senior.
Mary Buckland 5:20
Yes. throw rugs are a huge, huge factor in surfing. Everything that really needs to be remembered and many folks need to be reminded is the use of those mobility devices that help keep them on safer and upright such as walkers, canes. Sometimes people use wheelchairs, too, because they do not have good balance or their legs aren't strong enough to support them for periods of time. And certainly, analyzing somebody's care environment if if they can't traverse stairs safely, then trying to adapt to our environment where they can be an all in all on one level and reduce the risk of going up and down stairs is a very helpful intervention that can that can take place if possible.
Tom Deutsch 6:10
You know, one of the things you mentioned earlier is that I don't think our listeners and perhaps they do but really understand the impact of a fall on a fractured hip and how that can really shorten life and have a dramatic impact on our seniors.
Mary Buckland 6:28
Yes. Anytime we have somebody that falls and breaks a bone or requires surgery, anesthesia, hospitalization, changing care environment, such as a skilled facility, anytime somebody that is a senior citizen lands in the hospital from a such an instance that in and of itself increases their risk of becoming delirious, it's very common for for seniors to become delirious when they're hospitalized. And anytime we put the senior in the hospital, we are on the medical side, bracing ourselves to be prepared for if that delirium still develops that in in somebody that when they become delirious in the hospital that in and of itself increases their mortality risk, the longer that is that persists. And that's not even factoring in if they've had surgery to repair a broken hip, for example,
Tom Deutsch 7:27
you know, I'm not here to scare our listeners. But even in my own mother, she had an nst she based delirium, which in fact, never cleared and impacted her for the rest of her life. So
Mary Buckland 7:41
yeah, that can happen. That certainly can happen. And I'm sorry that happened to her.
Tom Deutsch 7:48
Let's talk about incontinence. And what you know, what possible steps we can do to mitigate incontinence are there things that are out there,
Mary Buckland 8:00
incontinence can happen it's an unfortunate and frustrating thing that we have to deal with. Many times stress incontinence can sneak in more, so we see it more so and ladies. Some of that can be managed with main just mild incontinence pads to help for those times when when somebody sneezes or coughs or maybe they wait a little too long and their bladders too full. And there are certainly exercises that can take place that your that your urologist would recommend to try to increase the muscle strength within the pelvic floor. And certainly making sure that the prostate health is is factored in for gentlemen to make sure that they can evacuate their bladder and make sure the prostate isn't too large. Those are all things that we look at. There are medications that can also be considered depe...
In the first of two podcasts, Nurse Practitioner Mary Buckland discusses clinician visits, defines the meaning of co-morbidity factors, Covid 19, senior driving and testing and additional considerations.
Senior Nurse Practitioner Mary Buckland
My contact info is mary@mhpnw.org
Show Transcript
Miranda Hamilton 0:00
Welcome to it's just wallpaper, a podcast dedicated to providing solutions for seniors and families dealing with life changing health and living conditions. Your host Tom Deutsch is a graduate of Columbia University School of Public Health and administrative medicine. Tom brings 43 years of executive experience working for the care and well being of senior citizens with credentials and licenses as a nursing home administrator, life insurance agent with a long term care endorsement, professional guardian and court appointed guardian ad litem in over 1500 cases. Tom brings a lifetime of knowledge to help you and your family make the best decisions you can. And now from our studio in Coeur d'Alene, Idaho. Here's Tom.
Tom Deutsch 0:43
Over the course of my working career in all venues of long term care, Time after time, I've witnessed important decisions being made based upon impulse and non essential factors. Welcome to which just wallpaper where my guests and I aim to provide our listeners with thoughtful information and resources to enable them to make the best decisions the first time when we visit our clinician or specialist. As we age, it becomes increasingly more important that we be good historians of our healthcare record, or can rely upon someone who is what I used to accompany my parents to a physician appointment. I was amazed at what they told him or what they simply did not recall. Joining us today from Vancouver, Washington is Mary Buckland, a family nurse practitioner. She's founder and president of mobile health care providers Northwest. She has extensive experience in internal medicine, Family Health, urgent care, nephrology, hospice and palliative care. Welcome Mary Buckland.
Mary Buckland 2:00
Thank you, Tom for having me.
Tom Deutsch 2:02
To me, it is a distinct pleasure that you have come on this program.
Mary Buckland 2:06
I'm happy to help.
Tom Deutsch 2:08
Again, when I used to accompany my parents to a physician appointment, I was amazed at what they told him and what they simply didn't recall. As we age, I believe we are less likely to recognize subtle, subtle, or even start changes in our health or behavior. So what are your thoughts on a company visitations? And what should family bring?
Mary Buckland 2:33
That is an excellent question. And the answer is two parts. The first thing that I asked seniors when they come to visit me in the clinic, is to bring a list of concerns. And it's not even necessarily maybe that senior citizens concerns but what other concerns that family may have about either disease process, medication management, how things are going at home, psychologically, how things are going, always keeping in mind that as we age, that depression is very common in seniors. And I am a huge proponent of bringing another set of eyes in here to those visits, because a lot of information can be covered in a very short amount of time. As we age, we need more time to take in information and process it. So having an extra set of eyes and ears there can be helpful for that the plan that is put into place. It's more effective and hopefully can be followed through on
Tom Deutsch 3:44
often from a care facility, a patient that is not covered by a clinician that comes to the facility is sent out to be seen. And often I've in my experience, they're sent out with a stack of paper and over an envelope and it's presented to the clinician should not the family if possible be present, to help the clinician understand what's going on,
Mary Buckland 4:11
that can sometimes be a very difficult situation to traverse it really depends on the level of involvement that that family member has. And sometimes I have patients families that even though their loved one is in an assisted living environment, they are very closely involved and they are visiting their parents very frequently are in are in constant contact with communicating with their care team. So in those cases, those are very effective visits and meaningful and can be brain a very fruitful and what we can get out of that. There are other instances where perhaps that loved one that person in the assisted living if you're in Vancouver, but many times I have them where they're those family members are on the East Coast or in the Midwest, and they can't be present for those visits, and they may not be as directly involved. In those instances. However, I strongly encourage that a routine caregiver who really knows that person is able to come and speak and advocate for any issues that they're having, and or what they have case manager there at the building, somebody that can really make sure that it is a comprehensive visit, and all those bullet points or concerns are addressed. While we have that person there in the clinic.
Tom Deutsch 5:37
Later on in our programming, we have an elder law attorney who's going to be with us. And she'll be addressing power of attorney and advanced directives. From your perspective, as a medical provider, how important are those documents,
Mary Buckland 5:55
if there is a statement that would say, describe my past in getting your advance directive, having those very important decisions made, while somebody is cognitively and physically aware, is very important month I see a lot of this in my work in palliative care. And when we have patients that we're taking care of that we haven't had, or they haven't had those very difficult conversations, or they haven't designated the power of attorney, or they don't know who they want to help be that ultimate decision maker, if they've lost their voice or their voice is centered for whatever reason, then it makes it very, very difficult for their medical team to make sure that they are laying out a plan that really follows through and respects that individual's wishes. So I am very, very passionate about getting those forms and documents in place as a means of direct advocacy for the for our patients.
Tom Deutsch 6:53
I couldn't help but do this podcast without talking about COVID-19, which is so prevalent and talked about throughout the world. You know, from your perspective, would you define for us what a comorbidity is,
Mary Buckland 7:17
when we talk about comorbid conditions. And those are other medical diseases, diabetes, high blood pressure, also called hypertension, and COPD, chronic obstructive pulmonary disease and obesity, in and of itself, we are designating as a comorbid condition and identifying that that puts people at risk of COVID. Taking over more readily, high cholesterol, dementia, heart disease, heart failure, all of those things lie within that comorbid state. And those comorbid diseases that can impact how readily or how vulnerable a person is to infection from other viruses such as such as COVID-19.
Tom Deutsch 8:10
Now we have really two sets of circumstances, we're going to have seniors that are in care facilities, or assisted living and retirement facilities that are basically or have to adopt the policy of that facility. And then, you know, for prevention and being safe. And then we have those folks on the outside who are living independently. Let's focus a minute on that population, what would be your advice in this environment, we're living in the people living in their own homes, as to what preve...
Grab your family album and pull up your contacts as we explore Estate and Tax Planning beyond the borders of the United States, stay tuned to see what laws could either make your family tree flourish or topple under the weight of ignorance by not knowing about international treaties. For international estate planning, tax laws are of special importance because the tax treatment of non-US residents is very different than US citizens/residents in the US. Conversely, for US citizens with assets abroad, they need to be aware of tax treatment in those countries (for example, does the US have an estate tax treaty with that nation) and have an estate plan to dispose of those assets after their death. Iván is the Managing Partner of the Law Office of Ivan Ramirez & Associates located in San Antonio, Texas. His practice is focused on servicing both domestic and international clients with business planning, estate planning, estate administration, estate & gift tax planning, and real estate. Ivan is a frequent speaker for attorney, financial advisor, and CPA continuing education conferences on the above topics over the last 13 years. web: www.ram-law.com español: abogadoivan.com Instagram: ivanramirezlaw Facebook: Law Office of Ivan Ramirez & Associates
See omnystudio.com/listener for privacy information.
Prepare to have the stereotype of Trusts only being used by the wealthiest 1% disproven in this new episode with our guest and sponsor Cheryl John, Senior Vice President and Trust Officer at Falcon Bank, helping us understand: what is a trust, what purpose does it serve, what does a Trustee do, and who might benefit from a trust?
See omnystudio.com/listener for privacy information.
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