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Net of Care
Balance between Caregiving and Your Job
In This Issue
What's New
Beth Israel Medical Center Programs
New Medical Developments
Advance Directives
Frequently Asked Questions (FAQ)

 

Beth Israel


1. What's New

Beth Israel Medical Center
Beth Israel Medical Center’s Department of Pain Medicine and Palliative Care (DPMPC) is pleased to announce the creation of NetofCare.org, a community resource network for NYC-based services for caregivers of patients with serious medical illnesses. NetofCare.org provides information by illness condition, caregiver situation, and geographic location. This site will also present multimedia educational opportunities in the form of webcast seminars and online support, through newsletters and telephone support groups.
To learn more about NetofCare and other programs, visit www.NetofCare.org

Memory Walk 2003 - Taking Steps to End Alzheimer’s
There are currently an estimated 200,000 people with Alzheimer’s disease residing in the five boroughs of New York City. The Alzheimer’s association, New York City chapter, is celebrating their 15th Annual Memory Walk on Sunday, October 26, 2003 at Riverside Park, West 83rd Street. On-site registration begins at 9:00 a.m. and ends at 12:00 noon, with closing ceremonies, raffle prizes, and special awards.
To register online or to learn more about the New York City chapter, visit: www.alzheimernyc.org or call (212) 983-6906, Ext. 242.

New Guide Helps Families Get Quality Palliative Care for Relatives and Friends
(Bethesda, MD) - The National Alliance for Caregiving (NAC) and New York City-based Friends and Relatives of Institutionalized Aged (FRIA) have jointly created a booklet to help family caregivers advocate for palliative care on behalf of relatives in long-term-care settings. A review of scientific literature on the topic conducted by NAC and FRIA revealed that families caring for a loved one suffering from a chronic, progressive condition (e.g, congestive heart failure, multiple sclerosis, or Alzheimer’s disease) may lack the information they need to advocate effectively for optimal care. In addition, professional caregivers themselves may lack the necessary information about palliative, supportive, and comfort care.
To request a copy of this free booklet, send an e-mail to info@caregiving.org. The booklet also is available as a free download on NAC’s Website at www.caregiving.org/care.pdf, and FRIA’s Web site at www.fria.org.

Caregivers Emerge as Vital Online Audience
The recently released "Internet Health Resources Study" from the Pew Internet & American Life Project reports that six million home caregivers are now online. As a group, caregivers are far more active than the general online population: 55% of them searched for information on prescription or over-the-counter drugs (vs. 34% of general users) and 62% looked for information on a specific medical treatment or procedure (vs. 47% of the general audience). This study demonstrates the central role of family caregivers in treatment decision-making and the importance of targeting caregivers directly.
To read this and other articles, visit: www.pewinternet.org.


2. Beth Israel Medical Center Programs

Telephone Support Group for Caregivers (English and Spanish)
This free, 10-week telephone support group can help family and friends of patients facing serious medical illness. The group will address the many concerns related to living with a loved one's illness and aims to bring caregivers together to share similar experiences, provide emotional support, and learn helpful coping strategies such as communication, relaxation, education, and stress management. To join the group, or for more information, call (212) 844-1713.
To learn more about this and other programs, visit:
NetofCare E-Newsletter

The Palliative Home Care Service
Elderly patients with serious medical illness and their families or caregivers experience many physical, psychological, social, and spiritual concerns. By providing expert palliative care, the Palliative Home Care Service hopes to improve the quality of life of patients and their families.
If you are interested in this program, ask your physician to contact us at (212) 420-4139. Your physician will receive a response within one business day.

Homebound Outreach Project for the Elderly (H.O.P.E.)
H.O.P.E. is a unique community-based program designed to serve the needs of an increasingly older and more frail senior population. Its primary goal is to decrease loneliness and social isolation. Trained volunteers provide companionship and help maintain an ongoing link to Beth Israel Medical Center.
To make a referral to the program, or for more information, please contact the H.O.P.E. Coordinator at (212) 420-5659. In Brooklyn, please call (718) 377-4036.


3. New Medical Developments

Alzheimer's Cases Could Triple By 2050
The aging of America, in conjunction with lack of effective new treatments, could see cases of Alzheimer's disease triple by 2050, according to a study. According to a new study, detailed in the August 2003 issue of the Archives of Neurology published by the American Medical Association, describes a collision course between the need to find new treatments to stem the tide of Alzheimer's with the growth of America's over-85 population. The 85-year-old and over now represent the fastest growing segment of our population, according to the U.S. Census Bureau.
To read the complete article visit: www.caregivershome.com/news/article_2003_08_8_without_new.html

Breast Cancer Risk Among Young Women with Hodgkin's Disease
Fifty years ago, Hodgkin's Disease (HD), a cancer of the lymphatic system, was almost always fatal. With the introduction of effective treatment regimens, HD is now curable with an 85 percent survival rate at five years; there are about 120,000 survivors of HD in the United States today. However, the success of HD treatments is accompanied by an increased risk of other types of cancers. Survivors of HD have an increased risk of developing leukemia, sarcoma (cancer that develops from connective tissue such as bone, cartilage, or muscle), and breast, lung, and thyroid cancers. Among female HD survivors, breast cancer is the most likely tumor to develop and is a major concern for these women.
To read the complete news release visit: http://www.cancer.gov/newscenter/pressreleases/HodgkinsBreast

Amyotrophic Lateral Sclerosis (ALS) and Soccer: Is there a Connection?
Early this year, there was a media report of a suspected cluster of ALS among Italian soccer players. This important scientific observation requires scientific study although, at this time, it is not clear exactly what the possible association between ALS and soccer playing may be. The Miami Herald and the National Italian American Foundation have announced and published story updates. In its July 30, 2003 story, "ALS Prober Looking at Soccer Move," the Miami Herald reports that a 10-year British study is beginning to track the health of soccer players following the deaths of some British soccer players.
To read the conclusions and recommendations of this study visit: http://www.alsa.org/news/drugnews080503.cfm


4. Advance Directives

Advance Care Planning
Advance directives are statements that describe your wishes for treatment in the event that you are unable to speak for yourself. An attorney can assist you in the preparation of an advance directive. While laws vary in each state, most recognize at least one of two advance directives:

Health Care Proxy
A new law, called the New York Health Care Proxy Law, allows you to appoint someone you trust, for example, a family member or close friend, to decide about treatment if you lose the ability to decide for yourself. You can appoint someone by signing a form called a Health Care Proxy. You can give the person you select, your "health care agent", as little or as much authority as you want. You can allow your health care agent to decide about all health care or only about certain treatments. You may also give your agent instructions that he or she has to follow. Your agent can then make sure that healthcare professionals follow your wishes and can decide how your wishes apply as your medical condition changes. Hospital, doctors, and other health care providers must follow your agent's decisions as if they were your own.
(A Guide for Patients and Families - New York State Department of Health)

Living Will
A Living Will is a set of written instructions that outline your health care wishes at the end of life. If you complete a Health Care Proxy and also have a Living Will, the Living Will provides the instructions for the health care agent.

To learn more about the advantages of advance directives, visit: www.netofcare.org/content/goals_care/advance_directives.asp


5. Frequently Asked Questions (FAQs)

Q: What is a family caregiver?
A: A "family caregiver" is anyone who provides any type of physical and/or emotional care for an ill or disabled loved one at home. Sometimes, "family" is whoever shows up to help. At a time when hospitals are releasing patients earlier, the elderly are living longer, and people are living with many chronic illnesses, more family members and friends are caring for loved ones at home. People often find themselves having to perform new and unfamiliar tasks. These may include: giving medicines, helping with personal care, assisting with meals, and performing medical and nursing procedures. There are different types of family caregivers. Some caregivers are parents of children with physical, mental, or emotional illness. Some are adult children of aging and frail parents who can no longer care for themselves. Others are spouses, life-partners, family members, neighbors, or friends caring for loved ones suffering from an illness or disability. www.netofcare.org/content/getting_started/default.asp

Q: My parents refuse to allow anybody to help them at home. What can I do?
A: If your suggestion initially meets resistance, you may have to persist over time, slowly but surely. There may be other underlying problems that can suggest why your parents refuse help. Try to explore the reason(s) why they do not want anyone at home. Common reasons are mistrust of the system, privacy issues, lack of money, and/or emotional feelings like fear or depression. A family meeting involving all members can be useful in stressing the positive aspects of home care. Some people in need of assistance are more receptive to someone they know and trust, such as a family member or neighbor. If you are concerned about your family members' ability to care for themselves, an assessment by the family physician is the place to start.

Q: How do I know when it is time to ask for help?
A: Caregivers often wait until they find themselves far beyond their abilities and circumstances before they ask for help. Ask for help before you are in crisis. Research has shown that caregivers are at a greater risk for stress-related illnesses. Respite services help to preserve the quality of caregivers' daily life, which makes them better able to provide quality care to their loved ones. www.netofcare.org/content/getting_started/asking.asp

Q: What is palliative care?
A: Palliative care is the term used to describe the clinical approach to the patient with a progressive life-threatening disease. Palliative focuses on preserving the quality of life and ensures that death occurs with comfort and dignity, in a manner consistent with the desires and values of the patient and family. Palliative care specialists try to encourage all health care professionals to see their roles as enhancing the quality of life of patients with serious progressive disease by controlling pain and other distressing symptoms, providing psychosocial and spiritual support, and developing systems that can offer practical support to the patient and family.
To learn more about palliative care: www.stoppain.org/palliative_care/palliative.html

Q: What causes pain?
A: In the simplest case, something dangerous -- heat from the stove, the cut of a knife, electricity from an outlet, an object colliding with your toe -- damages or threatens to damage tissue in your body. Pain receptors, called nociceptors, send signals to your brain via your spinal column telling you of the danger, so you can take measures to protect yourself or prevent further injury. This type of pain, called nociceptive pain, is the most common. It is experienced with muscle or bone injuries, surgery, or pressure from an infection or condition like cancer. It can be experienced as sharp, dull or aching, in a large or small area, and generally goes away as the damage to your body heals.
To learn more about what causes pain, visit: www.StopPain.org/pain_medicine/faq.html