What I Offer

6. Who are the providers that they are already affiliated with? Which Medical system, local health care facility? What about additional auxiliary services like e.g dental, eyes, podiatry, physical therapy, occupational territory?
7. Who is monitoring the medical portal for communication with medical providers?
8. Which Pharmacy are they affiliated with? What are the hours for pick up, delivery, and wait time? Who is responsible for monitoring expiration of prescriptions? What are the all-night pharmacies in your area? Do they have a prescription plan and an account?
9. Which supplies must be purchased or ordered? And from where? foodstuffs, toileting products, household necessities, gloves, wipes, toiletries?
10. Which equipment is needed and how is it paid for? E.g.: hospital bed, wheelchair, walker, cane, grabber, hearing aids, glasses, dentures, braces, bandages, ramp, oxygen machine, pacemaker monitor, catheter, Hoyer lift, appropriate phone, appropriate computer?

11. Who are the decision makers?
Financial, legal, medical, housing
12. Who has medical power of attorney?
13. Who has financial power of attorney?
14. How do the family decision makers communicate? How often?
15. How can you facilitate constructive involvement?
16. Who manages the calendar? medical appointments outside the home, telehealth, house calls, hair care, dental care, foot care, audiology, eye care, family visits, radiology, visiting nurses
17. How can differences of opinion among family members about care of the client be handled?
18. Who handles finances and insurance management: health insurance, life insurance, long term care insurance, Medicare, property insurance? How do they adapt to new situations as needed?
19. Who manages transportation? How is this monitored over time as changes occur: vehicle, public transport, wheelchair access, transfer in and out of vehicle?

20. Who has the knowledge of elder law including rights, power of attorney, medical power of attorney, executor of estate? Who will arrange for a lawyer to manage accounts, will, estate, for advice?
21. Five Wishes document
22. Appointment of medical proxy
23. Information about funeral homes, potentially making prior, pre-paid arrangements
24. Facilitate regular re-evaluations of these arrangements every month or quarterly or annually
25. Keep records (phone number, email, address): all medical practitioners, home health staff, family members, physical and occupational therapists, lawyer, accountant
26. How to determine what method or frequency of communication with family: weekly or monthly blog, emails. phone calls, FaceTime
27. Maintain communication either by facilitating phone or face to face conversations or through a computer based portal between caree and caregivers.
28. Determine when senior client needs assistance with this communication, when to step in, and when to step back
29. Physical hygiene ongoing maintenance
30. Find out what services are available in their community for seniors, those who struggle with disabilities, keep those records
31. Find out what financial support and home care is available through national and local government.
32. Post prominently in the home of the caree:
Instructions in case of emergency, who should be contacted in what order?
List of medications and restrictions
Phone numbers of family and service providers
Schedule of daily routine
Emergency escape information in case of fire or flood
DNR document and medical proxy information
33. Nutrition assessment and need for dietary supplements
34. Physical Therapy, occupational therapy, speech therapy, swallowing therapy, psychotherapy.
35. Procure information about palliative care and hospice long before they are needed
36. Spiritual assessment including religious affiliation, names and phone numbers of religious community.
Information Caregiver should enter into computer file:
Social Security number
Birth certificate
bank account
Insurance information
Medicare number
Medications
Family members who are authorized to make legal or medical decisions, and in what order?
Legal documents designating power of attorney for health care decisions and for financial decisions
List of all involved medical practitioners with contact information
Respite care information
Information about local hospitals
Legal services for elders information
Adult Protective Services information

Coach can help family caregivers make decisions based on:
Availability of ancillary services in the community and online
Medical information, family history, financial situation, emotional and physical capacity
Needs assessment
How to involve caree and family members in decisions and in direct care
When and how to set limits/boundaries?
End of life decisions about treatment, palliative care, hospice, invasive interventions such as surgery, organ donation, feeding tubes, ventilator
Discernment about when a change should be made
Respite
hospice
Thinking outside the box
Religious convictions that will affect health care interventions
Spiritual questions about death and dying and afterlife for clients and caregivers
Art and music and meditation for healing

ELDERCARE DISCOVERY
Contact Rabbi Gila by email at walkwithyou@rabbigila.com to set up a free 30 minute free Zoom consultation to assess challenges, obstacles, and goals you are facing on the caregiving path.

ELDERCARE SUPPORT NAVIGATION
Now let’s identify specific ways that Rabbi Gila can guide you. In this pre-paid 90 minute Zoom session, we can explore specific dilemmas, who are the decision makers, what is changing and how to take steps towards resolution.

ELDERCARE JOURNEY MENTOR
Caregiving is an ongoing process of adjusting to transitions. Rabbi Gila will be available for consulting on Zoom on a weekly or monthly basis, with possible email contact, as the pathway unfolds for you as a caregiver.