『02 \\\\ What Nobody in the Healthcare System Will Say to You as a Caregiver』のカバーアート

02 \\ What Nobody in the Healthcare System Will Say to You as a Caregiver

02 \\ What Nobody in the Healthcare System Will Say to You as a Caregiver

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What Nobody in the Healthcare System Will Say to You as a Caregiver 1) You are an extension of the healthcare team. For example: When your person discharges from the Emergency Department, hospital, or even a skilled nursing facility, you may still have needs. And while these needs no longer require 24/7 nursing care in a hospital, as an example, these needs to be met in the home environment. Some examples of this may be that the patient still needs to be toileted or taken to the bathroom. The person may need wound care or dressing changes, or perhaps be given medications subcutaneously such as a blood thinner or insulin.These tasks may sound impossible or daunting for all kinds of reasons to you as their caregiver. This does not change the fact that the patient is discharging with needs that will require your help as the caregiver. Thus, you are an extension of the healthcare team. Possible Solutions: Ask if there are support services available to the patient or you as the caregiver. Such as Home Health or similar services are appropriate to bring into the home, i.e., Registered Nursing care or Physical Therapy. Consider hiring help such as an In-Home Care Agency for help with personal care needs, light cooking, cleaning and basic shopping needs. Perhaps outpatient services may be appropriate for a particular need; wound care or intravenous medications. 2) The expectation is for you to step up! Take responsibility, support and help your person (the patient). This one is really tough! Sometimes there are some really valid and real reasons why someone cannot step up to help, take responsibility, and support their person as the caregiver. Perhaps you are too sick, weak, and tired yourself? Or you have your own caregiving needs that are not being met, let alone taking on caregiving for someone else. Regardless of your circumstances, this patient may have needs that do not require 24/7 nursing care meaning they no longer need to be in the hospital as an example. Therefore, when the patient is medically ready for discharge to home with caregiver support, a plan needs to be in place for the patient and this may require YOU as the caregiver to take on a role that you may not be prepared for. This is where your engagement really matters. Taking a step back, not engaging, or even avoiding the situation does not stop the care or stop decisions from being made or even the discharge plan from moving forward. Your input is very important, and perhaps the healthcare team can help solve some of the concerns that you have and support you differently if given the opportunity? Potential Solutions: Solutions can look very different depending on the circumstances, and I am always happy to talk through your individual situation with you in my group coaching program called Healthcare Confidence™ Program. This program is designed to help you navigate your complex medical realities with education and support. You will have direct access to me in an online group coaching space where you will be able to ask questions and engage in a way that I believe will help you navigate your individual healthcare situation with more clarity and confidence.Again, I am offering a workshop this September so that you can learn more about this program so save your seat! Recognizing that stepping up, taking responsibility, and supporting your person does not mean that you have to do it alone!Ask the healthcare team for help and collaborate with the healthcare teamBe straightforward and honest about your thoughts, concerts and questions so that they can better serve you and ultimately the patient. Lean on others such as the patient's family, friends, church family, neighbors, etc.Ask if agency assistance is a good option to consider, such as home health, hospice, or palliative care.Perhaps other services like food delivery, i.e., Meals on Wheels or Mom's Meals, for post-discharge meal coverage may be an option to consider. 3) You will be asked to do or perform tasks that you are not prepared to do or even want to do. Let me start off by giving you some examples of what you may be asked to do as a caregiver. Just to name a few: Transportation home at discharge, providing daily personal cares such as bathing, driving the patient to and from appointments, wound care or dressing changes, managing an ostomy, administering tube feedings, and assisting with intravenous medications or fluids. Can you imagine managing your loved one's new ostomy or administering their new tube feedings at home? These things all need to be done. There is no negotiation in that, and your loved one does not need to be in the hospital for these things. This may be shocking to you, but it is true. With all that being said, there may be some very real and valid barriers for you as the caregiver to do these things effectively or at all. Perhaps you don't have good eyesight, or you have poor dexterity related to impaired feeling in your fingers; ...
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