More about the POLST

 

How is the POLST form used?

 

A nurse, social worker or your doctor completes the form making sure the treatments are what you want. The doctor signs the orders, making them official immediately. The orders are kept near you at all times, usually on your refrigerator or by your bed if you are home or in your medical chart, if you are in a care facility. The form is then easily found in emergencies. The POLST form will remain with you if you are transported between care settings (from home to hospital or from hospital to an assisted living facility.)

 

What might happen to me if I do not have a POLST form?

 

Without a POLST form, emergency medical personnel, nurses and doctors would not know your treatment wishes. You most likely would receive all possible treatments, whether you want them or not, even if they are unlikely to achieve the result you would hope for, and even if these treatments cause pain or complications. Thinking through treatment choices with your family and doctor before a problem occurs can guide and provide the kind of care you want during difficult times.

Posted in Uncategorized | Leave a comment

NEW the POLST–Physician Orders for Life Sustaining Treatment

 

 

Physician Orders for Life Sustaining Treatment (POLST)

Frequently Asked Questions

Who should have a POLST form?

The POLST (Physician Orders for Life-Sustaining Treatment) form is important for people with serious health conditions. It is used to make a person’s wishes for medical care known to doctors, nurses, emergency medical personnel and other healthcare staff. The POLST form is a bright pink medical order form. Your doctor uses the POLST form to write orders that indicate the treatment you want in the last stages of an illness.

Why should I complete a POLST form?

If you have a serious medical condition, you can help to make certain that your wishes for care in the future are known and respected. The POLST form makes clear what medical care you would or would not want if you become unable to make the decisions yourself.

  • • It provides a doctor’s order so that healthcare workers can follow your plan.
  • • A POLST form increases the chances of living out your days as you and your family wish.

What does the POLST form do?

The POLST form is voluntary and is intended to:

  • • Help you and your doctor discuss and develop plans to reflect your wishes.
  • • Assist doctors, nurses, healthcare facilities and emergency personnel in honoring your wishes.
  • • Make sure that your wishes are followed as you are moved from one healthcare facility to another (for example, from hospital to nursing home).

www.sunshinecare.com

Posted in Uncategorized | Leave a comment

Does My Loved One Have Hospice Benefits?

Medicare, Medicaid, private insurance plans, HMOs, and other managed care organizations usually provide hospice benefits.

Keep in mind that these benefits reflect these facts about hospice:

 Hospice focuses on caring, not curing. Your hospice team will provide expert medical care, pain management and emotional and spiritual support tailored to your needs.

 Hospice is a philosophy of care and can be delivered wherever the patient calls home. In most cases, care is provided in the patient’s (or another person’s) home. It also is provided in freestanding hospice centers, hospitals, and other long-term care facilities.

 Hospice services are available to patients of any age, religion, race, or illness. You can continue to receive hospice for as long as your physician, after assessing your condition, determines that your illness continues to be life-limiting.

 Medicare

There is a specific benefit for hospice called the Medicare Hospice Benefit. You can get the Medicare Hospice Benefit if:

 You are eligible for Medicare Part A (hospital insurance); and

Your doctor and the hospice medical director certify that you have a life-limiting illness and have six months or less to live if your illness runs its normal course; and

 You sign a statement choosing hospice instead of curative treatment and standard Medicare-covered benefits for your life-limiting illness; and

You enroll in a Medicare-approved hospice program. (More than 90 percent of hospices in theUnited Statesare Medicare certified.)

 Other, non-terminal medical conditions you may have will be covered by your standard Medicare benefits. 
 
Medicaid

There is a specific benefit for hospice called the Medicaid Hospice Benefit. If you have a low income and few assets, you may qualify for Medicaid,  a health insurance plan that helps people who cannot afford to pay some or all of their medical bills. Almost every state has a Medicaid Hospice Benefit. To find out if your state does, call the Caring Connections HelpLine at 800/658-8898.

Private insurance, HMOs, managed care programs

It is very likely that your private health insurance plan includes a hospice benefit. If you own a long-term care policy, it may include hospice benefits. To find out, talk with your health insurance or long-term care insurance representative. Also ask if there are any limits on the amount of hospice care benefits your insurance will pay for. If there are, talk with a hospice representative about financial resources you may be able to tap if your hospice benefit limits are exceeded. It’s a good idea to do this before enrolling in hospice. Keep in mind that you will never be asked to leave hospice simply because you cannot continue to pay for your care.

Posted in Uncategorized | Leave a comment

Sharing and Safe Keeping of End of Life Decisions

Share Your Decisions

Even if you have made your end-of-life decisions and completed all the necessary legal documents, there’s one more step to take to make sure your decisions will be followed. Share your decisions with family and friends, healthcare providers, faith leaders, and legal and financial advisors, if you have them. Also, let everyone know where your legal documents can be found.

File Your Records

Keep your durable power of attorney, advance directives, and will in a safe place in your home, and let people know where that is. Although a safe deposit box sounds like a good place to keep these important documents, it has two big drawbacks: The box is only available when the bank is open and only to people who are signers on the box with you. You could keep originals in your box for safekeeping and keep copies at home. 

In Your Safe Deposit Box

In a Safe Place at Home

Birth Certificates Employment Records
Marriage Certificates Health Insurance Information
Divorce Decrees Insurance Policies
Advance Directives (originals) Wills (copies)
Death Certificates Durable Power of Attorney (for financial decisions)
Car Titles Advance Directives (copies)
Property Titles Inventory of Safe Deposit Box and Key
Insurance Policies – life, health others (copies) Financial Inventory List
Summary of employee benefits —pensions, 401(k) plans, others
Bonds and stock Certificates
Veteran’s Papers

Although this information can be very important to have at the end of life, it provides a strong foundation for good financial planning at any stage of life. It might even get you thinking about your own goals and financial planning.

WHAT IF YOU DISAGREE?

You’re feeling very good about the conversations you’re having with your loved one and then suddenly there’s a decision you don’t agree with. What do you do? That depends on the decision and how strongly both of you feel about it. Talk about it. Share your concerns as positively as possible. Ask questions about your loved one’s decision and how he or she arrived at it. If the decision means you will have to do something you know you can’t, such as selling the family home, you can suggest that your loved one choose another person to be responsible for that action.

Keep in mind that you don’t want to spend your last days and weeks with your loved one in arguments that leave ill feelings. As the saying goes, wisdom is knowing the difference between things you can change—and those you can’t.

Posted in Uncategorized | Leave a comment

Assisted Living: Serving Seniors, Supporting Jobs, Creating Economic Benefits

Assisted Living: Serving Seniors, Supporting Jobs, Creating Economic Benefits

 We often talk about the important role that Assisted Living is playing in the lives of our seniors, the great strides we are making in improving quality of life for them and the piece of mind that Assisted Living provides to the families and friends of our residents.  It is a gift to them to know that their loved ones are receiving quality care and are able to live as independently as possible in a safe environment. 

 As most of you know, Assisted Living provides a wide range of choices in care and is an extremely popular option for many Californians.  Assisted Living is designed to help seniors to continue living semi-independently in a non-institutional setting.  Most often, communities offer a range of options that provide housing, help with daily and personal activities and some health-related care.  Its success is good news for all of us who understand the changing demographics of our state – we have a growing elderly population with increased life expectancy who desire to remain as independent as possible for as long as possible.  

 While we  could go on and on about the virtues of Assisted Living and all that it is accomplishing in our society and for our seniors and their families, today’s focus is about a different aspect of Assisted Living – one you may not have thought about before.  That is: Assisted Living’s benefit as an economic engine in our state and our local communities.  Even in the midst of these difficult economic times, Assisted Living and the associated activities it drives contribute heartily our state’s fiscal health.  Assisted Living helps our economy through the stable employment, local investment, tax revenue, and the myriad of related economic activity that it generates.  Clearly, Assisted Living should be recognized – and touted –  for all that it contributes as a source of growth and economic stability in our state.   

 Notably, recent statistics indicate that more than 68,000 jobs stem from meeting the needs of those served in California Assisted Living communities each year.  These jobs are not just the ones you automatically think of  — for example, health care and social service providers, food service workers and maintenance crews.  Jobs directly generated from Assisted Living are just the beginning of the story – there is a strong ripple effect in the cities and towns where these communities exist.  Thousands of jobs from a variety of sectors of the economy are generated by activities from Assisted Living operations.  Construction jobs, social services jobs, recreation and arts jobs, and government jobs are created from Assisted Living.  And, jobs are generated in the areas of transportation, utilities, insurance, manufacturing, finance, and waste management from Assisted Living.  At the end of the day, California sees a total benefit of about $2.2 billion in employee compensation directly and indirectly generated from Assisted Living.  This benefit includes not only the salary and benefits for employees but the influence on spending, investment and savings patterns.  Jobs fuel the economy and Assisted Living is playing a solid role in keeping our economy moving.   

 Overall, Assisted Living pushes more than $5 billion – with a “b” – into the statewide economy each year.  To put this impact in perspective, the total employment and output benefits are only a little smaller in magnitude than the state’s entire warehousing and storage industry, a highly visible sector of the economy that is engaged in storing merchandise and providing logistics services.  In terms of economic influence, Assisted Living in California also compares to the impact that professional sports in the Los Angeles region has on that area’s entire economy.  In fact, the impact of Assisted Living in the total economic picture equates to 0.2 percent of California’s total employment and 0.3 percent of the state’s economic output.  Importantly, for every dollar generated by Assisted Living, an additional 4 cents of economic benefit is indirectly generated in California’s local communities.  In my mind and in the minds of economic experts, anything that contributes $5 billion of economic activity is a source of growth in our state and its expansion must be considered an investment in California’s future and our long-term economic health. 

Assisted Living communities generate a good amount of tax revenue, too.  Economists estimate that Assisted Living creates about $299 million in state and local taxes.  These taxes include sales, personal and business taxes both from the work directly found in Assisted Living and from work that occurs in related areas.  The winners of this added tax revenue are all of us.  These revenues fund our public education system, pay for public safety officers including police and firefighters, and ensure that important social services programs are available to those most in need all across the state and here in our local area.  In these troubled times, stable sources of tax revenue that help fund these critical services are more important than ever. 

 The value that Assisted Living will have both in terms of quality of life for our seniors and to our state and local economies will be even more profound in future years.    Since the state’s elderly population is expected to grow at a rate much higher than the overall total population in the coming decades and life expectancy is on the rise, demand for the popular Assisted Living model will increase considerably.  In addition to quality and choice in senior care, this means more jobs, more tax revenues and a larger, sustained economic ripple effect as a subsidiary benefit of expanding Assisted Living in our state. 

 Assisted Living is breaking ground – both in terms of answering the many needs of our state’s seniors and in its role as a stable provider of jobs and benefits, revenue and economic benefit across the state.     Jobs created and revenues generated by Assisted Living’s presence should be protected and appreciated as this economy struggles to recover.

Posted in Uncategorized | Leave a comment

The Joys and Stresses of Caregiving

 The idea of caring for a parent who is obviously struggling to accomplish the necessary activities of life often seems like the “right” or compassionate thing to do. That is true. It is most often a truly fulfilling experience. But, caregiving can also present new demands and stresses that were not anticipated. 

First let’s celebrate those who provide support to our seniors and to recognize the sacrifices they make. Caregivers are the unsung heroes of our day, and their contributions frequently go unnoticed. However, I also want to urge them to understand and manage the process carefully. When you do choose to care for a parent in your home or theirs, keep in mind these tips to help you avoid burnout and take care of yourself first:

Schedule regular time for yourself and other family members—like kids and spouses.

Eat nutritious meals.

Exercise regularly.

Get regular medical check-ups.

Use respite care frequently.

Ask other family members for help.

Join a support group.

Caregivers also need to understand what options exist so they can take breaks or get needed assistance. But, when do you know that it is time to investigate an increased level of care for your parent or loved one, or additional support for yourself? The first issue—always—is safety. If your parent’s health or safety is in jeopardy under your care for whatever reason, you need to move them to a higher level of supervised care. In addition, if caring for a parent or family member jeopardizes your health and safety or that of another member of your family, it is time to look at other alternatives.

There are a number of options for care beyond your sole supervision of a parent. Making use of these options can help reduce the stress level for everyone in the family.These include:

Adult Day Care

 Adult day care allows the caregiver to take his or her parent to an engaging environment for a period of time so that they can have a day off here and there. Adult day care offers stimulating activities and can also be integrated into the overall care regime for a parent.

In-Home Care

In-home support and licensed home health care providers can be hired to provide basic assistance or medical care in the home on a scheduled basis.

 Respite Care

 

 

Respite care involves having someone come into the home for planned short-term and long-term breaks for families and caregivers. It can also be provided via short-term overnight stays at an Assisted Living community.

Assisted Living

 

 Another option is Assisted Living. Assisted Living provides the parent with the opportunity to move into a community so that they have continual access to the level of help they need. Assisted Living is consumer driven and currently one of the most popular options available for seniors. This is true because it provides the kind of flexibility seniors need to meet a variety of care levels while also giving them the independence they want. Assisted Living is ideal for seniors who need help with things like bathing, medication management, meals, transportation and socialization.

 Today’s message is this: caregiving can be a fulfilling and satisfying way to support and love an aging parent and show appreciation for all they have given to you. However, when you become a caregiver, it important to manage the process wisely. Be aware of stressors and potential burn-out. Take care of yourself. And finally, plan ahead by learning about care options, particularly those that will allow your parent to comfortably transition to higher levels of care if they are needed.

Posted in Uncategorized | Leave a comment

End of Life Planning with your Doctor

End of Life Planning with your Doctor.

Introducting the POLST:

The Physician’s Order for Life Sustaining Treatment (POLST) became a recognized document in the State of California in 2008. Since then, the Coalition for Compassionate Care, of which CALA is one of many participants, has been working to educate doctors, nurses, patients, and other health care professionals about the use of POLST. This document is designed to lay out what treatments a patient does and does not want in the event they are unable to express these wishes themselves. The document is a signed doctor’s order, and follows the patient through whichever care settings he/she encounters.

Support for Families:

The Coalition for Compassionate Care is a statewide partnership of more than 95 regional and statewide organizations promoting high-quality, compassionate end-of-life care for all Californians. In 2008 the coalition worked to pass AB 3000 (POLST) recognizing the use of the Physician’s Order for Life Sustaining Treatment in the state of California. They are working on the statewide distribution and use of POLST in the field, and have additional resources for Advanced Health Care planning.

For more information on end of life care, hopsice and palliative care in California, we encourage you to reach out to CHAPCA. The California Hospice and Palliative Care Association works to promotes and strengthen the delivery of hospice care for terminally ill patients and their families through education and advocacy, according to their website.

Not all assisted living homes can take folks on hospice, they must have a waiver from Community Care Liscensing like Sunshine Care Homes has in place. Be sure to ask when you are touring sites, as this may become an important issue in the future care of your loved one.

Posted in Uncategorized | Leave a comment