Completely off topic - in home care for elderly - advice needed

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7 years 11 months ago #522960 by hilldweller
Hi there
Would appreciate any words of wisdom on this as I need to look into options for some elderly relatives. 88yo is going downhill fast and desperately wants to be able to die at home. His 70-something partner (a former nurse, which helps) is wearing herself out as 24/7 caregiver. They have various people (district nurse etc) visiting during the week to do specific tasks which is a big help but they're about at the point where they also need someone, might not have to be a registered nurse, who could stay over a couple of times a week. 88yo sleeps badly but is up and dressed during the day, shuffles around holding onto furniture (won't use the walking frame LOL!).

They would be able to pay for some extra help, within reason. They're in Chch, centrally located and he's a tiny frail thing these days so no great strength required to help him move around. Would appreciate advice on what sort of services to contact and what to ask. TIA.

hilldweller

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7 years 11 months ago #522961 by kalnetta
First thing is talk to their doctor .He /She will be able to help put things in place.

View Hill Oxford ,23 ewes 2 lambs ,1 ram,, 1cat,the 2 of us,6 granddaughters,one grandson,2 surrogate granddaughters and one step grandson,poor boy.

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7 years 11 months ago #522963 by LongRidge
There is a huge amount of help available to elderly people who want to stay at home, BUT .....
They must ask for it, then demand something better, be prepared to have someone else in the house, and be nice to the workers. They get paid incredibly little for the work they do.
At the in-home assessment it is very important that the patient does not try to be a hero. With the FIL, when the assessor came FIL got out of bed ad walked unaided to the kitchen, which he had not done for a month before ad never did again. He was determined that the MIL did not get help :(

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7 years 11 months ago - 7 years 11 months ago #522974 by Stikkibeek
We've been though all that. You need to get onto the Elder care assessment people attached to your local Hospital board. Home help is available but they won't get this until their needs are assessed. Things you might then expect, are help with showering, housework, laundry, gardening and lawns. These services will be attached to the patient, and if the other party of this relationship is considered well enough, then, the housework may be her responsibility. Enduring power of attourney for finance and well-being is vitally important. Without it, you will not be able to access anything at all for them and the authorities cite the exceptionally annoying Privacy act, which they deliberately misconstrue to the detriment of all. You can also get respite care for the 88yo. patient. That gives the hardworking partner a break. The 88yo would go into a rest home for from 1-3 weeks at a time. (He might get to enjoy it) Once again, you need that EPOA. It will lighten the load if you can get it for both and if they are no longer able to drive or go to the bank to pay bills etc, it can take a burden off them both. It has to be done before either of them lose their ability to make rational decisions, otherwise it becomes something that must go through court and while a relative may get EPOA for well being, a court appointed person may be put in charge of finance. You need to talk with them fully and sensitively about the things that can be offered and how to access them. A good case worker is a wonderful ally

Did you know, that what you thought I said, was not what I meant :S
Last edit: 7 years 11 months ago by Stikkibeek.

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7 years 11 months ago #522977 by 16 Paws
Hi Hilldweller. There are a few options that may be available, not yet covered. Depending on what is wrong, the local Hospice may be able to help. They are not limited to dealing with cancer, but rather any terminal situation. Some Hospices provide inpatient services, others home visits, and others home based care. It is worth considering contacting them to find out. District nurse or GP will also be able to advise. As far as needing an assessment, that is true for publicly funded care, but in many services private care can be purchased. And you don't need an assessment to do that. Just the $$$. Usually much quicker to get sorted as well, if the caregiver needs a break urgently. EPOA - yes it's a great idea for this to be organised ( indeed everyone should have this organised, not just the elderly or unwell) if the patient is still of sound mind. But it makes no difference to what the EPOA can do or organise, until the patient is no longer of sound mind. Just having someone nominated does not give that nominee any authority, until the patient is judged by a doctor to be incompetent to decide care for themselves. A competent patient can very easily nominate a next of kin or friend that they are happy for all medical details to be shared with, or to act as their agent. The Privacy Act does not stop that from happening, but is there to stop any curious relative accessing information the patient may not want to share. Respite care does not have to be in a rest home. The funding for respite care is the same funding that is used for in home care/night nurse/carer.

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7 years 11 months ago #523024 by Geba
Try this:

mycare.co.nz/

It's (relatively) new and seems to work well.

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7 years 11 months ago #523025 by Geba
Whoops...

and:

Talk to the needs assessment & service coordination people ('NASC') in your area. You should be able to find out the agency name from your local DHB website. If the NASC can't take you on as a client they should know who can.

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7 years 11 months ago #523026 by Geba
AND (should have put all this into one reply!!)

These guys have all the answers (really!):

www.carers.net.nz/

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7 years 11 months ago - 7 years 11 months ago #523110 by hilldweller
Many thanks to all for the replies to this thread - lots of useful advice there. Things are getting worse, health-wise, but we've now got some additional care in place and an EPOA was being sorted today. Geba I will forward those links. Thanks heaps.

hilldweller
Last edit: 7 years 11 months ago by hilldweller.

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