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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

November is National Family Caregiver's Month
In recognition of caregiver's month, the National Family Caregiver Association (NFCA) is initiating the National Family Caregiver Story Project. Family caregivers will be given the opportunity to tell their caregiving stories. Sharing stories can bring about awareness of the caregiver's experience, needs, and feelings.
To learn more about this project, or to submit your story, visit NFCA at www.nfcacares.org

New Policy Briefs from Family Caregiver Alliance (FCA)
The National Center on Caregiving at the Family Caregiver Alliance examines critical caregiving issues and trends. "Paid Family and Medical Leave: Why We Need It, How We Can Get It" talks about how the Paid Family Caregivers and Medical Leave influences working caregivers and their employers. This publication reviews the status of paid family leave legislation throughout the U.S.
To view and print the full publication visit: www.caregiver.org./caregiver/jsp/content_node.jsp?nodeid=1012

Online Caregiving Articles
The National Organization for Empowering Caregivers (NOFEC) has developed and launched an online searchable database of caregiving articles. NOFEC is a charitable non-profit organization deeply committed to helping family caregivers from all walks of life.
Visit, www.care-givers.com, to search for a caregiving article by category.

NYC Caregivers: Adult Child-Caregiver Project at NYU's Aging and Dementia Research Center
NYU's Silberstein Institute for Aging and Dementia is recruiting caregivers for a new project designed for adult children taking care of parents in the second stage of Alzheimer's Disease (AD) at home. The goal is to decrease negative effects of caregiving (stress, anxiety, and depression) while increasing the positive aspects (improving the quality of the caregiver/parent interaction), as well as to develop a more favorable balance among life's competing responsibilities. There will be three sessions over a three-month period that can be scheduled during lunch and/or evening hours. A light meal will be served. There is no cost for participation. To find out more information about the study, or to see if you are eligible, please contact Cynthia Epstein, ACSW, at (212) 263-1056, or Alicia Pierzchala, CSW, at (212) 263-7619.

Who is a Caregiver?
A recent survey by AARP reports that almost one-half of baby boomers provide care both for children and elderly parents. Nearly one-quarter of these baby boomers are caring for elders. This article helps caregivers understand the major concerns of providing caregiving and how to manage their own needs and those of their parents and children.
To read the full report visit, www.msnbc.com/news/981804.asp

New Guide Helps Families Get Quality Palliative Care for Relatives and Friends
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 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


2. Beth Israel Medical Center Programs

Telephone Support Group for Caregivers in English and Spanish
Support groups can help family members and friends of those who face serious medical illness. These free support groups address the many concerns related to living with a loved one's illness. The group usually numbers between 6 and 10 people who come together to share similar experiences, provide emotional support and learn helpful skills, such as communication, relaxation, education, and stress management. The group will be conducted via telephone at no cost to callers. The next group will be conducted in Spanish and begins December 3, 2003, every Wednesday from 6:00 PM - 7:00 PM. To register please call (212) 844-1713.

Karpas Health Information Center (KHIC)
Karpas Health Information Center has been a major provider of community health education for the past 20 years. Established in 1981 due to an outcry by community members for accurate, up-to-date health information, the Center continues to provide cutting edge consumer health information and education services. Due to the pioneering spirit of generosity, leadership, and innovation of Suzanne T. Karpas, the KHIC has flourished. The KHIC works in partnership with schools, businesses, and community organizations throughout Manhattan and Brooklyn. KHIC is located on 311 First Avenue at East 18th Street, New York, NY 10003. Hours of operations are Monday - Friday, 9:30 AM - 4:30 PM.
For more information call (212) 420-4247 or visit www.wehealny.org


3. New Medical Developments

New Treatment Said to Work Like "Liquid Drano for Arteries"
CHICAGO, Illinois (AP). Intravenous doses of a synthetic component of "good" cholesterol reduced artery disease in just six weeks in a small study with implications for treating the nation's number one killer. "The concept is sort of liquid Drano for the coronary arteries," said Dr. Steven Nissen, a Cleveland Clinic cardiologist who led the study.
Visit cnn.com to read the full article,
www.cnn.com/2003/HEALTH/11/04/
cholesterol.breakthrough.ap/index.html

Undertreatment Worsens Breast Cancer Prognosis
According to a report in the Journal of Clinical Oncology, breast cancer is undertreated in many elderly women, resulting in significant decreases in breast cancer survival. This report suggests that more attention needs to be given to the early diagnosis of breast cancer in elderly women. According to the October 2003 Journal of Clinical Oncology, treatment needs to be adapted to the patient's general health status and other conditions, but should offer the best chance of cure, regardless of age.
For a review of this report, visit
www.jco.org/cgi/search?tocsectionid=Breast+Cancer

Food and Drug Administration Approves Alzheimer's Drug
The Food and Drug Administration (FDA) recently approved memantine (NAMENDA), for treatment of moderate to severe Alzheimer’s Disease (AD). This is the first drug approved for the treatment of patients with advanced AD. The FDA Commissioner Mark McClellan, M.D., Ph.D., said, "The approval of memantine is good news for Alzheimer’s Disease patients.” The side effects are low, and memantine is the first drug shown to have an effect on the symptoms of moderate to severe Alzheimer’s Disease.
Visit the consumer affairs website to read the full details
http://www.consumeraffairs.com/news03/alzheimer_drug.html


4. Advance Directives

Advance Care Planning
Most people find it difficult to talk about death and dying. Everyone should have the right to decide what kind and how much medical care he or she wants or does not want. There are those who leave these decisions to family members or close friends. The American Association of Retired Persons (AARP) has an excellent section on caregiving.
Visit AARP at www.aarp.org/indexes/life.html

Below are the top five advantages of planning for medical care:

  • Helps to express future wishes about medical treatment
  • Ensures that patients will not be given medical
      treatments they do not want
  • Takes pressure off family members if decisions must
      be made about medical care, and the patient is unable
      to communicate
  • Allows patients to choose persons they feel will
      best represent their wishes
  • Empowers patients to change living wills or health-care
      agents at any time

New York Presbyterian Hospital's Health Outreach, 420 East 76 Street, between First and York Avenues, New York City, presents the Advanced Care Planning Workshop, Thursday, November 20, 2003, from 2 PM - 3PM. For more information, please call (212) 746-4351.


5. Frequently Asked Questions (FAQs)

Question: My mother is in the hospital and may have to go into a nursing home for rehabilitation. She will return home in a few weeks. She never had home care services. How can we arrange home services for my mom?
Answer: Speak with the social worker/discharge planner at the hospital. He or she has a variety of home care options. If your mom needs long-term-care services at home, you should ask the facility social worker about getting a long-term-care assessment. This assessment, usually made by a nurse, determines whether your mother is eligible for home care services that can be paid by Medicare, Medicaid, or other insurance.

Question: I've been told my elderly father should get a flu vaccine, especially since he has chronic lung disease, but I'm scared that the vaccine will make him sick. What should I do?
Answer: Many people are nervous that the flu vaccine will make them sick. While a small number of people suffer some side effects the day after their vaccination, choosing not to be vaccinated poses an even greater health risk, particularly for elderly people with chronic illnesses. Each year about 114,000 people in the U.S. are hospitalized and about 36,000 people die because of the flu. That is why it is important for everyone, including family members and health care providers, to get vaccinated, preferably in October or November.
For more information on the flu vaccine, visit the CDC flu homepage at
www.cdc.gov/nip/Flu/default.htm

Question: My grandfather has pain all the time, are there different ways to treat pain in older adults?
Answer: Yes. The elderly are more likely to experience pain than the general population and are often undertreated for pain due to myths about their pain sensitivity, pain tolerance, and their ability to benefit from opioid drugs. If your grandfather is experiencing pain, you should consider the following factors:

  • There may be more than one source of pain.
  • He may have several medical problems and be
      taking a number of medications at once, and this
      may increase the risk of taking analgesic drugs.
  • He runs a higher-than-average risk of side effects from
      all drugs, including analgesics like nonsteroidal
      anti-inflammatory drugs [such as ibuprofen]. It
      is important to report the over-the-counter pain
      medication you take to you health care provider.
  • Having chronic medical problems and an increased risk
      of side effects does not mean that his pain cannot, or
      should not, be aggressively treated. He may be a
      candidate for any of the many pain-relieving
      relieving therapies that exist.
Have a question? Have caregiver news? Please contact us.