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Navigating Elder Care

Navigating Elder Care

著者: Navigating Elder Care
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Navigating Elder Care

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  • Understanding Palliative Care: Comfort, Support, and Quality of Life
    2025/12/14
    Navigating Eldercare: Understanding Palliative Care — It's Not What You Think! Episode Summary: Are you or a loved one navigating a serious illness? Join elder care advocate Laura Daniels as she sits down with Monica Trust, CEO of Guiding Light Hospice, to demystify Palliative Care. Too often, families mistake palliative care for hospice or "giving up." In this critical episode, Monica clarifies that palliative care is specialized medical support focused on improving quality of life and managing symptoms—and it can be sought alongside aggressive, curative treatment right from the moment of diagnosis. What You'll Learn: Palliative Care vs. Hospice: The crucial distinction—palliative care is not end-of-life care. When to Start: Why palliative care should begin as soon as a serious illness is diagnosed (e.g., cancer, CHF, dementia). The Care Team: Who is involved (doctors, nurse practitioners, social workers, chaplains) and how they coordinate with your current physicians. Empowerment Through Education: How an hour-long in-home consultation helps families and patients set goals of care and advocate for themselves, cutting through the confusion of short doctor visits. Real-Life Impact: A moving story of how palliative care supported a young patient and her family through a difficult transition. Monica provides clear advice on how to start the conversation with your doctor and shares her team's contact information to help listeners navigate this essential part of the care journey. 00:00 Introduction and Host WelcomeLaura Daniels introduces herself as the host and founder of Care Advocates, focusing on guidance for families facing elder care transitions. 01:31 Introducing the Guest and TopicLaura introduces Monica Trust, CEO of Guiding Light Hospice, to discuss the often-misunderstood topic of Palliative Care. 02:49Monica Trust's BackgroundMonica shares her personal passion for elder care, which stems from assisting her own family with her grandmother's care journey. 03:32 Defining Palliative CareA precise definition: specialized medical care for a serious illness, focused on symptom relief and stress to improve the quality of life for the patient and family. 03:59 Palliative Care vs. Hospice: The Key DifferenceCrucial distinction: You can still seek aggressive, curative treatment while receiving palliative care. 04:25 When to Introduce Palliative CareIt should be introduced as soon as a serious illness is diagnosed to help families navigate the disease process. 05:46 Explaining Palliative Care to FamiliesIt is symptom management and support from an additional care team that comes to the home. 06:18 The Value of Time in Palliative CareUnlike rushed doctor visits, Palliative Care visits are typically one hour long to discuss goals of care and process information. 07:40 The Best Time to Consider Palliative CareMonica shares a story about a transplant team—palliative care should begin the first day of diagnosis. 09:07 The Palliative Care TeamThe support team includes a doctor, nurse practitioner, social worker, and chaplain. 09:50 Coordinating with Current PhysiciansThe palliative care team works in partnership with specialists, providing documentation and communication to coordinate care. 10:35 Location of CarePalliative care can be provided wherever you call home (home, assisted living, nursing home). 11:24 Common Fears and MisconceptionsAddressing the fear that palliative care means stopping curative treatment—it does not. 12:58 Palliative Care Support for FamiliesThe team assists the family by providing ongoing education, helping them plan ahead, and understanding what to expect from their loved one's journey. 14:18 Patient Success StoryMonica shares a story of how the team (including the chaplain) supported a patient and her husband in making a courageous decision to transition from curative treatment. 16:26 What the First Visit Looks LikeThe first visit is a deep, one-hour consultation focusing on understanding the diagnosis and having Goals of Care conversations. 18:04 How to Request Palliative CareAdvice for listeners: Ask your doctor, "Am I a candidate for palliative care?" Or call Guiding Light directly. 19:07 Qualifying ConditionsExamples of chronic illnesses that qualify include Cancer, Dementia, CHF, and COPD. 20:41 Monica's Final MessageDon't be afraid; Palliative Care is a proactive way to plan, improve quality of life, and match treatment to your personal goals. 21:25 Defining Goals of CareExamples of goals: deciding when to stop treatment, discussing ventilators, or feeding tubes, and setting up Advanced Directives. 23:19 Connecting with Guiding LightContact information for Guiding Light Hospice: (210) 585-2335 or guidinghospice.com. 24:14 Host Wrap-up and Contact InfoLaura Daniels offers a free consultation and provides Care Advocates contact information: (210) 669-2222 or advocatern.com.See omnystudio.com/listener for privacy information.
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    26 分
  • Hospital Discharge Checklist: Your Essential Roadmap for a Safe Recovery
    2025/11/23

    Discharge from the hospital or a rehabilitation stay can be scary, confusing, and overwhelming. Things move fast, and lack of preparation can lead to unsafe outcomes.

    Join Elder Care Advocate Laura Daniels, RN, as she provides an essential discharge planning checklist and walks you through every step you need to take for a safe transition home or to a new care setting. Learn how to advocate for yourself or your loved one from day one, what to expect during a hospital stay, and the key questions to ask your medical team regarding medication, follow-up care, and recovery support. Laura emphasizes that the most important care happens after the hospital stay and offers a free Medicare discharge checklist resource to ensure you're prepared.

    • Learn the stages of a hospital stay and how to navigate the system.

    • Understand the importance of proactive, day-one discharge planning.

    • Discover key action items, like coordinating equipment, follow-up appointments, and support services for the crucial first 72 hours at home.

    Chapters

    00:02 Introduction to Navigating Elder Care with Host Laura Daniels, RN.

    00:20 Laura's background as an Elder Care Advocate and founder of Care Advocates.

    01:16 Care Advocates' process: Customized care planning and options (assisted living, memory care, in-home care).

    02:38 Today's Topic: The overwhelming moment of hospital or rehab discharge.

    03:32 Introduction to the Discharge Planning Checklist and key action items.

    04:02 Offer for a free, four-page Medicare Discharge Checklist.

    04:47 What to Expect During a Hospital Stay: Understanding the process.

    05:27 Stage 1: Admission (Emergency Room vs. Planned Admission).

    06:36 Stage 2: The Inpatient Phase (Specialists, Vitals, Rounds, Task-Driven Care).

    07:44 How to Advocate for Yourself or a Loved One.

    08:46 Key Questions to Ask from Day One: Plan, goals, concerns, therapy.

    09:14 Taking Ownership of your admission and outcomes (bring a notebook!).

    10:04 Asking about medication changes and starting discharge planning on day one.

    10:48 Your Rights: Speaking up if you don't feel ready for discharge.

    11:29 Questions to ask about the post-discharge plan (rehab, SNF, home health).

    12:20 Hospital stay is a temporary stop; focus on what comes next.

    13:42 Why Discharge Planning is Crucial: High risk of readmissions and complications.

    14:50 The patient/caregiver is a key partner in the discharge process.

    15:40 Overview of the Medicare Discharge Checklist components.

    16:05 Checklist items: Home assessment, follow-up appointments, transportation.

    17:04 Support Services: Home health, meal prep, and community resources.

    17:34 Equipment and Medications: Ensuring they are ordered in time.

    17:54 Emergency plan and 24-hour contact list.

    18:28 The Crucial First 72 Hours post-discharge and need for support.

    19:5 6Skilled Nursing Facility (SNF) discharge considerations.

    20:25 Resources & Next Steps: CMS checklist, referral service contacts, Medicare helpline.

    21:18 Final encouragement and a client story about an unsafe discharge.

    22:39 Outro: Contact information and services offered by Care Advocates.

    24:07 Free Consultation and contact details: 210-669-2222.

    25:06 Closing remarks.

    See omnystudio.com/listener for privacy information.

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    26 分
  • Navigating the Skilled Nursing Facility Journey: A Case Manager's Perspective
    2025/11/16

    In this episode of Navigating Eldercare, host Laura Daniels welcomes Naeemah Marquez, a Licensed Master Social Worker and the Vice President of Care Transitions for Ignite Medical Resorts. Naeemah shares her expertise on the intricate world of skilled nursing facilities (SNFs) and post-acute care. They discuss the definition of a SNF, the critical role of a case manager as a "broker of resources" and discharge planner, and what families can expect during the admission, stay, and discharge process. Naeemah offers invaluable advice on setting realistic expectations for recovery, coordinating successful transitions, and the importance of family involvement to prevent readmission. She closes with a powerful story illustrating the profound impact of guidance and advocacy in a family's eldercare journey.

    • 00:02 Welcome and Introduction to Navigating Eldercare

    • 00:20 Host Laura Daniels (Care Advocates Founder) Introduction

    • 00:45 The Mission of Care Advocates

    • 01:42 Introducing Guest Naeemah Marquez and Her Background in Social Work

    • 02:38 Naeemah's Inspiration and Drive in Care Transitions

    • 03:07 Defining a Skilled Nursing Facility (SNF)

    • 03:34 SNFs as a Bridge to Recovery

    • 04:00 The Role of a Case Manager/Discharge Planner in SNF

    • 04:39 A Typical Day for a Case Manager

    • 05:22 Supporting Patients and Families During the Stay

    • 05:54 The Admission Process from the Hospital to Ignite

    • 06:41 Average Rehabilitation Stay Length and Determining Factors

    • 07:10 Most Common Types of Therapy (PT/OT)

    • 07:39 Setting Realistic Goals: The Care Conference Meeting

    • 08:08 Advice for Families to Ensure Successful Recovery Post-Discharge

    • 09:34 Common Challenges: Patient Acceptance of In-Home Caregivers

    • 10:54 Coordinating the Next Steps: Transitioning Home or to Assisted Living

    • 11:51 The Interdisciplinary Team (IDT) Process

    • 12:21 Key Resources and Referrals Post-Discharge (Skilled Home Health, Hospice, Visiting Physicians)

    • 13:49 What Naeemah Wishes Families Understood About Skilled Nursing

    • 14:17 Setting Realistic Expectations: Not a 100% Return to Baseline

    • 15:14 The Patient Journey from Admission to Discharge

    • 16:39 How Ignite Medical Resort is Different (Luxury Rehab and Hospitality)

    • 17:39 A Story That Defines Naeemah's "Why" (Sister of a Patient)

    • 20:50 Laura's Appreciation for Naeemah's Advocacy

    • 21:27 Naeemah's New Role as VP of Care Transitions

    • 21:54 Naeemah's Goal for Her Team: Realizing Their Role as Advocates and Change Makers

    • 22:50 How to Contact Ignite Medical Resorts

    • 23:39 Closing Remarks and Free Consultation Offer from Care Advocates

    See omnystudio.com/listener for privacy information.

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    26 分
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