Friday, February 22, 2013

How Does WeCare+ Help?

Mr. Bob is an 85-year-old male who is the primary caregiver for his spouse Mrs. Bob. She was recently diagnosed with Alzheimer’s Disease. However, the disease began much earlier and progressed very quickly. Within three years he was spending his entire day caring for her. Mr. Bob does this with little or no help, as their children are all out of state and can only offer assistance during the holidays. Also, as with many Alzheimer’s and Dementia patients, most of their friends stopped coming around.

Fortunately, Mr. Bob’s financial advisor was knowledgeable about elder care issues, and he recommended WeCare+. That is where Long Term Solutions stepped in. After an initial in home assessment, Long Term Solutions clinician Sue called Mr. Bob. First, they addressed the activities of daily living. Could she dress herself? Was she able to use the toilet independently? What about independent activities – could she use the phone? These are the types of question Bobby Sue and Mr. Bob worked through. Next, they determined what adaptive equipment would help Mr. Bob properly care for Mrs. Bob. Finally, they discussed safety issues, such as wandering. Mrs. Bob had just started wandering, and recently had been turning on the stove. Sue had many suggestions, from a new lock on the door, GPS transmitting sneakers, to removing the knobs on the stove. They developed a plan to ensure the safety of Mrs. Bob, and then Sue focused on the well fare of Mr. Bob.

With the duties of primary caregiver entirely on the spouse, there is always concern for caregiver burden. Caregiver stress is a multi-dimensional issue, with physical, emotional and intellectual components. Frequently, caregivers don’t realize that caregiver burden and stress is even an issue. Mr. Bob admitted he was having a tough time dealing with the guilt about some of the feelings of anger and frustration he was experiencing while caring for Mrs. Bob.

There is a lot of fear and confusion involved, as there is so little known about the disease. There’s also a lot of confusion. Mr. Bob and his wife were always focused on nutrition, health, and exercise, so why did this disease had affect them? There’s a lot of anger. Mr. Bob sees studies about Alzheimer’s Disease, possible causes, possible treatments, but he knows none of them will help his wife. There’s also resentment. What happened to his freedom? They used to be so involved in their community, but now they spend their days together alone in the house.

Sue suggested that with this level of dementia Mr. Bob should consider 24 hour care. He was hesitant, so she suggested he would benefit from having a home health for aide at least 4-5 hours, 7 days a week. That way, the aide can foster a relationship and develop trust with Mrs. Bob, and Mr. Bob can decide whether or not he is comfortable with it. Either way, it would free up some time for him during the day.

Sue let Mr. Bob know that he was welcome to call her anytime with any new concerns, and she provided him with community resources for caregivers, like himself.

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