Sunday, November 3, 2013
One of the nice things I've learned as a result of joining this blog in August, is that it provides a place to "file" and "index" the various bits of information that come across one's desk. I know, I know. I still need to discard those piles of paper accumulating in my office. What can I say? I seem to suffer from PSAD, or paper separation anxiety disorder.
Anyway, I've been thinking a bit lately about the question of risk factors in home care, whether that care is provided by family or outside professionals, or, often, a combination of the two.
A recent newsletter from Nursing and Assisted Living Facility Professionals offers a thoughtful list of risk factors for facility-based care. Written by Memphis attorney, Rebecca Alderman, the list is influenced by the Affordable Care Act's mandates for training to prevent abuse and improve care of persons with dementia. Alderman identifies several "Facility Risk Factors," including "staff stresses and burnout," "staff ratio and turnover," "culture and management," and "physical environments." She emphasizes the importance of creating a "partnership of stakeholders" to manage these risks.
That is tough enough to do in facility-based care. But what about in the home? Aren't the same risks present for home care, and perhaps even more intensely felt? Is it safe to ignore caregiver risk factors in the home? Thus, a stakeholder team is probably even more essential.
Who would you include as essential members of stakeholder teams for home-care?