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Once in a while, we have heard clients express hesitation in having a caregiver because they view it in a negative light. They have stated, “I don’t like the idea of people assuming I need someone to take care of me.” We believe it’s an interesting stigma. The idea of needing to rely on another…
Being released from the hospital is (normally) a good thing, but it can also be a surprisingly dangerous and stressful transition. A person leaving a hospital and returning to their home is moving from a very controlled and sterile environment into one that isn’t designed for an injured or ill person. Here are some important…
Geriatric Care Managers act as a neutral party in medical situations. Individuals and families use them (in part) to discuss difficult matters, formulate strategic plans, and coordinate the necessary next steps. Geriatric Care Managers connect the dots between providers and clients, i.e., physicians, lawyers, financial planners, and even family members. When trauma, injury, or illness…
For most of us, illnesses and injuries do not follow a 9-5 Monday through Friday schedule. On any given holiday, or Friday night, many families are facing the prospect of having a family member return home from the hospital, sometimes to an environment that isn’t ready to support them. Recently, Feinberg Consulting was called in…
Skilled care is prescribed by a physician, in which the patient needs additional help. This includes physical therapy, occupational therapy, or speech therapy. Skilled care is typically covered by Medicare or other private insurance and overseen by a registered nurse. Skilled care usually lasts an hour depending on the therapy prescribed. Non-skilled care is NOT…
A substance-induced mood disorder is when changing or stopping a drug causes mood changes for an extended period of time. Many drugs (prescribed and not prescribed) change the way brain cells communicate with each other. They can also change the amounts of chemical messengers (neurotransmitters) in your nervous system. Having the right balance of these…
Quadriplegia, also known as tetraplegia is defined as “paralysis of four limbs”. Quadriplegia is caused by damage to the brain or the spinal cord at a high level (C1 – C7 – in particular). The primary cause of quadriplegia is a spinal cord injury, but other conditions such as cerebral palsy, multiple sclerosis, amyotrophic lateral…
Hoarding is the compulsive purchasing, acquiring, searching, and saving of items that have little or no value. People with this disorder have persistent difficulty in discarding or parting with possessions. This difficulty is due to the strong urges to save items and/or distress associated with discarding. When these behaviors lead to enough clutter and disorganization…
Dissociative Identity Disorder (DID), formerly called Multiple Personality Disorder until 1994, is a mental illness that is characterized by having at least two clear, distinct identities or personality states. These personality states are referred to as “alters”, which essentially control the individual’s behavior and may have different reactions, emotions, and body functioning. An alter often…
A traumatic brain injury (TBI) is a multifaceted injury with a broad spectrum of symptoms and disabilities. If you know someone with a TBI, you may notice changes in their behavior. An injury to the brain (usually an injury to the frontal lobe) often causes changes in emotion, which leads to modifications in behavior. In…
When you hear the words “Care Manager,” what comes to mind? Do you think of doctors, nurses, physical therapists? All of these people are part of the caretaking process, but they are not necessarily Care Managers. A Care Manager coordinates the doctors, nurses, insurance companies, attorneys, residences, home care agencies, hospitals, and equipment companies, along…
A moderate to severe Traumatic Brain Injury, or head trauma, is one of the strongest environmental risk factors for Alzheimer’s disease. Traumatic Brain Injury (TBI) refers to an injury in which normal brain function is disrupted by a bump, jolt, or blow to the head. These injuries are seen often with accidents such as motor…