Initial Caregiver Training With Celi Adams by Center for Caregiver Training 1320 Divisadero Street San Francisco, CA 94115 (415) 563-9286 OFFICE COPY PLEASE DO NOT REMOVE FROM TRAINING ROOM Page I-2 Senior’s Choice Caregiver Training © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Senior’s Choice Caregiver Training Page I-3 IMPORTANT!!! PLEASE READ Center for Caregiver Training is a San Francisco Bay Area, not-for- profit organization which provides training to family caregivers. Family caregivers are not bound by any constraints in the care they provide their loved ones. Hence, some of this material may reflect the role of the family member as opposed to that of a paid assistant. Please share this information with family members when you feel it is appro- priate. This handout packet is not meant to overrule or take the place of any poli- cies or procedures of The Senior’s Choice and it’s members. It is given to employers with the understanding that their employees will be bound by their job descriptions and the employment policies and procedures of their agency. This book is meant only to provide a perspective on the care of aging adults in their own homes and to serve as impetus for defining policy and improving the service you provide. We hope you find this training helpful and wish you much success in your endeavor. © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Page I-4 Senior’s Choice Caregiver Training © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Senior’s Choice Caregiver Training Page I-5 Table of Contents Chapter 1 - About Aging Adults Some Theories About Aging 1-3 Sensory Changes 1-5 System Changes 1-10 Some Common Illnesses 1-16 Getting The Most Out of Your MD 1-25 Chapter 2 - Mental Status Changes Conditions That Cause Mental Status Changes 2-3 Specialists 2-8 Signs and Symptoms of Cognitive/Motor Disorders 2-9 Management Strategies for Home Care 2-14 Communication Techniques 2-17 Agitated or Angry Behavior 2-19 Resources/Bibliography 2-21 Chapter 3 - Managing Medications General Information 3-3 Creating A Medication Schedule 3-5 Understand Your Medicine 3-6 Trouble Swallowing Medicine 3-7 Getting The Most Out Of Your Pharmacist 3-9 Chapter 4 - Nutritional Support Coping With Eating Problems 4-3 Shortness of Breath 4-6 Nutritional Supplements 4-7 Recipes 4-8 Special Diets: Renal and Diabetic 4-12 © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Page I-6 Senior’s Choice Caregiver Training Table of Contents Chapter 5 - Illness & Disease Infection Control Techniques 5-3 Side-Effect/Symptom Relief 5-7 Pain Management 5-20 Glossary 5-23 Chapter 6 - Body Mechanics & Bedcare Skills Lifting and Transfers 6-3 Supplies and Equipment 6-7 Exercise 6-9 Preventing Pressure Ulcers 6-11 Chapter 7 - The Support Network Support Needs and Resources 7-3 Additional Reading 7-7 Community Resources 7-8 Spiritual Beliefs 7-15 Chapter 8 - When Someone Dies Signs and Symptoms of Approaching Death 8-3 When Death Occurs 8-5 Bereaved People Need... 8-7 © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Senior’s Choice Caregiver Training Page I-7 About the Author Celi Adams Celi Adams is listed in Who's Who In American Nursing, 1991 through 1995. She has received a number of awards for her work including: • the Bob Cramer Award of Excellence by Cable Car Awards, San Francisco • the Community Service Award by the Bay Area Physicians For Human Rights in 1993 • the Special Recognition Award by Kairos Support for Caregivers in 1994 • the Community Service Award by the National AIDS Memorial Grove in l999 • the Robert Wood Johnson Community Health Leadership Award in 2000 • the Rosalyn Carter Caregiving Award by Mrs. Carter and the Rosalyn Carter Institute in 2001. Celi became a registered nurse in 1976 and received Oncology Nurse Clinician certification through the Oregon Comprehensive Cancer Program in 1984. She has worked in acute care and hospital management, emergency care, jail infir- mary, home health and hospice. She is currently a member of the Oncology Nursing Society and Association of Nurses in AIDS Care. In March,1987, Celi and Scott Jones founded Home Care Companions (now called the Center for Caregiver Training), and authored a 15-hour, caregiver home care skills training course for persons affected by HIV disease. Currently the pro- gram is an 18-hour course to reflect new treatments in HIV care and has been adapted to support caregivers of persons with cancer, brain tumors, CHF, COPD. Celi has also authored a caregiver home care skills training course for per- sons assisting the elderly and is on the executive board of The Senior’s Choice, a national organization of companion care companies. Celi resides in Petaluma, CA with her two daughters and serves as the Clinical Director for the Center for Caregiver Training which provides 6 courses per year in San Francisco, Marin and Alameda Counties. © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Page I-8 Senior’s Choice Caregiver Training © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Senior’s Choice Caregiver Training Page 1-1 Chapter 1: About Aging Adults "Being old is not the same as being ill." ––Dolan, 1980 © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved. Page 1-2 Senior’s Choice Caregiver Training © Copyright 2002 Center for Caregiver Training & The Senior’s Choice. All rights reserved.