Caregiving can slowly become a reality as a loved one ages, or it can be a sudden change resulting from an accident, a new diagnosis or a hospitalization. Regardless of your individual situation, it is crucial to understand that the nature of providing care for someone can change in an instant. For this reason, it is especially important to approach caregiving in an organized fashion. Should anything change, you will have a plan of action to build off of and a list of available resources ready to help you meet new and emerging needs.
An elder care plan can be an organizational tool, an informal or verbal agreement with a loved one, or a formal contract used to coordinate payment for care services. Plans can vary from daily to-do lists to detailed weekly accounts of amounts and types of care provided. The following steps can help you create your very first care plan or reevaluate your current approach to caregiving.
The first step in creating an elder care plan is to gather information and address any problem(s) at hand. To create a well-rounded strategy for dealing with concerns, all areas of a senior’s daily life must be taken into account.
Review a loved one’s home environment, proficiency in activities of daily living (ADLs) and instrumental ADLs, health status, medical and legal documents, and financial situation to ensure nothing is overlooked. Print a copy of this ADL Assessment to help you get started.
Some seniors may be resistant to such an “intrusion” into their personal affairs, but getting a complete snapshot of their current situation is vital for developing an appropriate plan of care. On the other hand, this first step is also useful for identifying the areas in which a loved one is still self-sufficient and able to retain their independence.
Based on the results of the care assessment you completed, make an ordered list of all shortcomings or concerns, placing the highest priorities at the top. Your loved one’s immediate health and quality of life are of utmost importance. Pressing issues like weight loss or noncompliance with a medication regimen must be dealt with first.
Even if you do not identify any flaws in their day-to-day schedule, agreeing on goals for their well-being is a useful way to convey your interest in helping them thrive. For example, “I want Mom to be safer in her own home,” “I want Dad to eat better,” and “I want my husband to have a higher quality of life” are all excellent caregiving goals that can be achieved in numerous ways. Don’t forget to include your loved one’s own desires for the future when creating these objectives as well. Aging in place is one of the most common goals of care for elderly patients.
Longer-term objectives like financial planning, advance care planning, estate planning and funeral planning can be addressed with the same three questions. These preparations are extremely important and may be time sensitive, depending on your loved one’s current situation. While these matters may be less pressing than rectifying health issues, the sooner they are addressed, the better. Proactive planning in these areas increases the likelihood that a loved one will be able to afford the lifestyle they have in mind for the future, guarantees that their health care and end-of-life wishes are respected even if they can’t convey them, and clearly specifies how their estate will be administered. Your loved one’s participation in legal, medical and financial preparations is paramount, so long as they are still competent to make these decisions.
A caregiver shouldn’t have to coordinate and execute all these tasks unaided. Embarking on this journey alone can be overwhelming and frequently leads to caregiver burnout. The purpose of creating a care team is to take inventory of all resources at your disposal and encourage communication and cooperation amongst all those who are willing to participate in your loved one’s care plan. Friends, family, neighbors, volunteers and other members of their community are the most obvious candidates for assisting with a loved one’s day-to-day needs and personal care. It is best to assemble a team of constructive individuals who are able to lend a hand or an ear when you need it most.
Of course, the more complex medical, legal and financial aspects of a care plan are best handled by experienced elder care experts. Specialists, such as elder law attorneys, therapists, benefits counselors, certified public accountants (CPAs), financial advisors, geriatricians and social workers, can be valuable additions to an elder’s care team. If your caregiving situation is particularly complex, a reputable geriatric care manager (also known as an Aging Life Care Professional) can assist in organizing, monitoring and facilitating your loved one’s care as well.
In some cases, a team member’s specific tasks will be obvious. An elder law attorney will handle drafting POA and advance directive documents, whereas a financial advisor assists with money management strategies, investments and insurance products. Delegating caregiving tasks to friends and family members on your care team is a little more challenging.
Make a list of viable solutions for each gap in your care plan. For example, your goal is helping Dad eat healthier meals more frequently. To achieve this goal, your brother and sister who live nearby could take turns delivering homemade meals or inviting Dad over for dinner a few times each week, and long-distance siblings could contribute funds for a subscription food delivery service to make up the difference. Try to identify each person’s individual strengths or abilities and match them with feasible solutions. These individual assets might include proximity to the care recipient, free time in their schedule, discretionary income, and skills like cooking, cleaning, nursing experience, and communicating. Get creative with how you appraise each team member and generate ideas for how they might be able to contribute.
Any gaps that remain in the care plan after assigning responsibilities to your team members should be filled by professional services, and/or federal, state, or local programs. Your local Area Agency on Aging (AAA) can assist in finding appropriate resources for your caregiving situation. While most families would prefer to limit their care team to family and close friends, this is not always realistic. Professional in-home care, adult day care and other respite services are often necessary to fill in any outstanding care needs. It can take a great deal of research to find the right programs or services to complete your care plan, but the effort is well worth it.
The purpose of having a care plan and care team in place is to promote communication and unified efforts for the welfare of both the care recipient and the caregiver(s). A divide and conquer approach to caregiving is far more sustainable than a sole caregiver taking on all these responsibilities. Keep in mind that a care plan is an ever-evolving tool. Professional care providers use similar organizational techniques and regularly evaluate and update each client’s plan of care to ensure all their needs are being met. Finding the best solutions may take some trial and error, and your loved one’s needs are likely to increase over the long term, so flexibility is key.
Even if your loved one does not currently need a care plan, beginning to put these pieces of the puzzle into place can save valuable time and help you avoid a great deal of stress later on. They don’t necessarily need to share their detailed financial statements or medical records with you just yet, but asking them to put together an updated file containing this information can be incredibly helpful in the event of an emergency. This goes for medications, health information and legal documents as well. Should something happen, you will know where to access the materials you need to make care decisions quickly and confidently.
To assist you in devising a customized care plan, AgingCare has created a free guide for you and your family to use during the planning process.
