‘Must Have’ Documents
- Medical Power of Attorney – lists people who can make medical decisions in the event of incapacity or disability
- HIPAA Authorization – names of people who may have access to medical information and records
- Directives to Physicians – informs of wishes regarding life prolonging treatments and procedures
- Out of Hospital DNR – instructs emergency medical personnel and other health care professionals to forgo resuscitation attempts and to permit for natural death with peace and dignity
- Observation vs. Admittance – must be admitted to receive Medicare benefit.
- Must have 3-night minimum stay to receive Medicare benefit.
- Consult with case manager before discharge – must have written orders for rehab, etc.
Form a support network and continue increasing its size. Informal care options include:
- Family members
- Faith Communities
- Volunteer Groups
- Lotsa Helping Hands – lotsahelpinghands.com
When hiring outside help, consider:
- Do you want to go through an agency?
- Who will conduct drug screening on the prospective employee?
- Who will conduct a criminal background check on the prospective employee?
- How will payroll and taxes for the employee be handled?
- How will insurance liability matters be handled?
- What happens when a care-giver is ill or has an emergency? What/who is back-up?
- Consider a move of your loved one as close as possible to the primary caregiver relative.
- Select a few places (~3) to tour – do not wait for the next crisis – look now.
- Types of residential care:
- Independent Living
- Assisted Living
- Skilled Nursing
- Acute Care Rehabilitation
- Residential Group Home
- Continuum of Care
- Memory Care
- Ask about:
- Health services – are in-house health services provided?
- The fine print – have your attorney review documents before signing
- Security – are there security personnel, call bells, personal emergency response systems?
- Have there been any complaints?
- Staff – what is the staff turnover and staff-to-resident ratio?