Follow
Share

Official care plan in place before the caregiver walks in the door on the first day.

This question has been closed for answers. Ask a New Question.
Find Care & Housing
Dave, Heard you when you said: "Care plan based upon our combined needs"
I am thinking on your statement. Care to elaborate so that someone here can assist you to find what you are asking for? In the meantime, once help shows up at the door, won't your own needs be more able to be taken care of by self?
Do you have an illness that needs care? Sorry that you are going through this.
Helpful Answer (0)
Report

Online: Nursing Care Plan for Alzheimer's, downloadable Dave.
Helpful Answer (0)
Report

The reason you may be over-thinking this Dave, is that some care-givers, companion-aides will not have the education to discern the written care plan, but may have the hands-on experience required to get the job done. They may also have a special connection to their client/charge/patient that cannot be put in words, or in writing. If you write up the care plan with every detail covered, you may scare some very good caregivers away. For example: Here's a grocery list, go to the store. Vs: Whatever it may be that you are planning to write up?
Let people here walk you through it, Dave.
Now, is there a little panic going on, a touch of caregiver burn-out happening with you? I just have a feeling, because you come across as super competent, no one would guess.
If worse comes to worse and a caregiver arrives that day with no plan, show her where things are, and the next day leave and come back 4 hours later. Then, you will fast-test (and save a lot of time) whether they will sink or swim. That will allow the caregiver to work without supervision. Yes? (Of course, the caregiver has great references).
Now, I am going to send you a hug, just in case you do need to let some things go a little.
Helpful Answer (0)
Report

Dave, are you going on vacation or deciding to stop doing everything for your wife? Will you still coordinate her care?
If your doctor Rx's physical therapy, occupational therapy to come to the home, insurance may pay for that for a time. All these helps can save caregiver time and money. Get a team together. R, do you have a room in the house for a live-in caregiver?
Helpful Answer (0)
Report

Safety issues: Supervise the patient constantly, don't leave her alone.
Helpful Answer (0)
Report

A nursing student (R.N.) is often required to write a care plan as a final exam. Go find a nursing student at the local college that offers nursing. Or, go to their bookstore and obtain the nursing diagnosis manual (or other book). Try Amazon online/nursing diagnosis/care plan. You are already doing a fine job writing these things out. One suggestion though: prioritize. It would be much more urgent to get bathing done, say for example, than to organize a photo alblum.
Helpful Answer (0)
Report

Dave, start by keeping a simple list of every task you perform tomorrow as you do them. date, time, what you are doing. That is a simple starting point.
Helpful Answer (0)
Report

Dave, are you overthinking this? I understand that you know her needs better than anyone but is it really that complicated? You said you are running yourself ragged trying to rationalize the irrational behaviors.........You can't rationalize the behavior of dementia. It's unpredictable and, as you stated "Irrational".

You seem to be trying to develop some sort of business plan for caregiving. It doesn't make sense to me to approach it this way. Establish a plan, certainly. But this is not a group of machines to be programmed or assigning tasks and goals to people who all work in the same office.
Helpful Answer (1)
Report

Aides will care for the patient, but they do not chauffer them around or do dishes or laundry or leave to go shopping or clean closets or care for plants. The list should be only the care that SHE needs, not general household stuff.
Helpful Answer (1)
Report

Dave, you're on the right track with the list of activities that you provided. Do you think you need more assistance or explanation, and if so, how can I help?
Helpful Answer (1)
Report

The care plan is for my wife

None if our doctors scripted for home health care, the RNs arrived did an intake assessment; However no one has ever presented a care plan. I hire home caregivers from agencies?

My own ideas about a care plan are based on our combined needs and ADL's with a focus on my ADW's needs for care.

The several home health care agencies all offer concepts that differ

I have made note of issues and concerns

Learned a new term today: WBS - Work Breakdown Structure, that's used in contracting to define a workscope and the tasks and deliverables associated with it. Sales and marketing 101plus

Alz/dementia I am only too familiar with the stages.

""List your specific goals for mobility, medicine administration, PT, OT, hygiene, activities, etc. Then within each category list the activities that can contribute to the goals, i.e., how you reach the stages desired, within the context of dementia stages." Excellent advice.

I will take you examples to heart. I do these things my self; but need to format them for caregivers

I am working with an Area Agency on Aging. To date it has been an excercise in frustration.

The definitions for Personal Care Services, Homemaking Services and Companionship Services are so overlapped and subject to mix and match by the counselors.

I culled the following list from the agingcare site:
· Bathing · Hair Care · Dressing · Grooming skin care · Perineal care · Comb or brush hair · Meal planning, preparation and service wash dishes · Personal laundry and linens · Make/change bed · Plant care shopping and errands · Personal · Prompting and reminders · Change adult briefs · Assist with bedpan/urinal/commode re-position bed-bound wife when needed, · Assist with active range-of-motion activities light housekeeping · Help with organization –clean closets, sort photos · Grocery shopping · Travel accompaniment

As the Alzheimer's progresses the more I need carer's to keep track of her she is in her must do stage demanding to "go" to work, to school, to ..etc etc. A lot more shadowing, sundowng. I try try to accept the mind is damaged by Alzheimer's Disease. I am running myself ragged trying to rationalize the irrational behaviors. Confabulations are a major annoyance when friends, family, and the medical community take everything she says at face value, no matter how false we know their statements to be
Helpful Answer (2)
Report

Dave, is the care plan for your wife?

I'm assuming that a doctor scripted for home health care, the RN arrived for an assessment and presented a care plan. Or have you hired a home caregiver on your own?

But you also have your own ideas about a care plan, right?

If so, in what areas are your concepts different from that of the home health care agency or the caregiver? Are there commonalities or are your concepts vastly different?

Have you in fact itemized issues of concern? If not, I think that's the first step, as apparently you had some specific goals in mind in arranging that care.

Based on your experience in data gathering online, I think you could approach the care plan the same way, or even in a way that resembles what's known as a WBS - Work Breakdown Structure, that's used in contracting to define a workscope and the tasks and deliverables associated with it. Yours doesn't need to be as detailed.

Your profile states that your wife has Alz/dementia. I assume you're familiar with the stages?

List your specific goals for mobility, medicine administration, PT, OT, hygiene, activities, etc. Then within each category list the activities that can contribute to the goals, i.e., how you reach the stages desired, within the context of dementia stages.

For example, mobility and PT might include stretching, some indoor PT and walking outdoors in good weather. OT might include how to use grabbers to self dress, or to reach items....things like that, but all within the framework of dementia limitations.

If these suggestions aren't on point, could you elaborate a bit more as to the care plans in question and what your specific concerns are?
Helpful Answer (2)
Report

This question has been closed for answers. Ask a New Question.