Question

In: Nursing

Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary...

Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary has a history of chronic obstructive pulmonary disease (COPD) but so far is able to manage it with medications and lifestyle. Her parents Steve and Joan (ages 88 and 85, respectively) live in Florida in their own home. When they moved to Florida more than 20 years ago there were many retired couples nearby, but the neighborhood is changing and has more working class families with young children now. Many of their old friends and neighbors have died or moved. Joan had a stroke several years ago and has right hemiparesis. Joan can do most of her own ADLs with minimal assistance; however, Steve helps her with showering and dressing. He also helps with all Joan’s IADLs, and does all the cooking, laundry, driving, shopping and managing finances. Mary talks with her parents several times each week. She has noticed that her dad seems depressed and his short-term memory has gotten worse. She is concerned about his ability to continue to care for her mom, take care of household tasks, and pay bills. Mary has broached the possibility of having Steve and Joan move to a retirement community near her, but her dad insists that he and Joan are managing just fine. Mary is concerned about their health and safety, but she doesn’t know what to do.

What are some issues with “long-distance” caregiving?

Student provides detailed answer to case study questions related to issues with distance care-giving, use of smart technology to provide care, and concerns/other assessment recommendations with rationale supported by references.

Solutions

Expert Solution

1. Knowing When You’re Needed…and When You’re Not

Although it may be tempting to jump in the car (or on a plane) every time your parent or elderly loved one brings up a problem or complaint, it’s hardly reasonable. Your own perception of the problem – not to mention fear – often clouds the issue and makes it seem more detrimental than it really is. Ask yourself:

• Is my parent’s health at stake?

• Can the issue be resolved with a phone call?

• Will traveling to your parent’s home provide a long-term solution or just temporary comfort?

2. Fighting Feelings of Guilt

Whatever the circumstances keeping you apart from your loved one, you likely feel resentment and guilt. While these emotions are natural, they are unproductive and self-destructive. Keeping in touch with your loved one on a regular basis is a vital way to combat these feelings. Having a trustworthy caregiver is also imperative. Using a homecare agency that offers ClearCare home care software is the best way to monitor your loved one’s care and stay completely involved.

3. Utilizing the Right Resources

Long-distance caregivers often have trouble finding appropriate resources for their loved one. This is not only frustrating, but it can take up time you really don’t have to spare. Knowing who and where you can turn to for help is essential. A local geriatric care manager can help you with decisions, but it’s also critical that you keep close in touch with the supervisors from the homecare agency you’ve chosen. They will answer your questions regarding ClearCare’s software and help you get the most out of their innovative services.

4. Finding Your Balance

You may be a long-distance caregiver, but you are likely also a spouse, parent, and employee. You have numerous responsibilities – in addition to those related to caregiving. Feeling overwhelmed is natural – you’ve got a lot on your plate. But finding the right balance is essential. You won’t be of any use to your aging parent, your family, or yourself if you burn out.

Reaching out for help is the only way you can maintain the proper balance between your personal life and your caregiving responsibilities. ClearCare’s caregiver software allows you to check on your loved one’s care at any time –and you also have the reassurance of knowing you’ll be alerted if there is a problem. This confidence will lessen your anxiety and let you focus on your own life and family.

5. Feeling “Out of the Loop”

A chief complaint among long-distance caregivers is feeling they are not really a part of their loved one’s care. You may wonder if your parent is being properly cared for, and if decisions regarding his care are the ones you would make. ClearCare’s web-based technologies allow you to bridge the distance between you and your loved one, putting your doubts to rest.

When circumstances prevent you from personally overseeing the care of your loved one, it can be very comforting to know that there are homecare solutions available to monitor your relative’s care. Even if you can’t physically be there every day, ClearCare’s homecare software makes it possible for you to feel as if you are.


Related Solutions

Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary...
Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary has a history of chronic obstructive pulmonary disease (COPD) but so far is able to manage it with medications and lifestyle. Her parents Steve and Joan (ages 88 and 85, respectively) live in Florida in their own home. When they moved to Florida more than 20 years ago there were many retired couples nearby, but the neighborhood is changing and has more working class...
Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary...
Mary is a 60-year-old woman who lives alone in the Midwest and works full time. Mary has a history of chronic obstructive pulmonary disease (COPD) but so far is able to manage it with medications and lifestyle. Her parents Steve and Joan (ages 88 and 85, respectively) live in Florida in their own home. When they moved to Florida more than 20 years ago there were many retired couples nearby, but the neighborhood is changing and has more working class...
Case:  Miss Diasy is an 85-year-old economically disadvantaged woman who lives alone, has no car and...
Case:  Miss Diasy is an 85-year-old economically disadvantaged woman who lives alone, has no car and cannot take public transportation because she cannot stand or walk without her walker or a store scooter.  She lives only on what she collects from Social Security and has no family to care for her.  She has a few well-intentioned neighbors and does have access to a senior center that can transport her to the grocery store, but lately she has no desire to...
(1.2pts) Question 1 - Bonnie is a 70-year-old woman who lives alone. One evening she felt...
(1.2pts) Question 1 - Bonnie is a 70-year-old woman who lives alone. One evening she felt lightheaded and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early. The following morning, upon awakening, she was unable to move the bed sheets with her right arm. At this point, she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time...
Scenario Mary Ann, a thirty-two-year-old woman, lives in Clinton, Connecticut with her son, Tony, who is...
Scenario Mary Ann, a thirty-two-year-old woman, lives in Clinton, Connecticut with her son, Tony, who is eight-years-old, and her boyfriend Jack. Mary Ann also takes care of her mother, Elma, who is elderly and lives with them in their home. Because Jack has trouble holding a job and rarely is employed for more than a few weeks at a time, Mary Ann works as a waitress during the day and as a bartender at night. It is common for her...
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust...
J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood...
Susan, a 23 year old part time graduate student who works full time in food service...
Susan, a 23 year old part time graduate student who works full time in food service has started to feel chronic fatigue. She started to also experience frequent headaches. She notes that her pants are feeling loose lately. a.) what questions might Susan's provider ask her as part of her history when she has her first telehealth visit? b.) what observations will the provider want to make over the screen when speaking with Susan? c.) What additional questions outside of...
A 23-year-old woman presents with a history of recent seizures. She lives alone and has several...
A 23-year-old woman presents with a history of recent seizures. She lives alone and has several cats in her apartment. An MRI scan of her brain shows a 3-cm mass lesion in the left temporal lobe and several smaller lesions in her cerebellum and right frontal cortex. What infectious disease is the most likely cause of this patient's intracerebral mass lesions? A. Cryptococcosis B. Actinomycosis C. Toxoplasmosis D. Coccidioidomycosis E. Histoplasmosis
Genevieve is a 45-year-old woman with three children who works part time and has recently returned...
Genevieve is a 45-year-old woman with three children who works part time and has recently returned to nursing school. She has sought care from her primary care provider. While taking a health history, Genevieve tells the nurse that she has noticed that she is feeling very tired, is cold all of the time, and has gained 15 pounds without a change in eating habits. 1. What other symptoms could accompany hypothyroidism? 2. Genevieve’s provider performs an assessment, noting that she...
Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with...
Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT