Grand Rounds-9/7/16

“Increasing Family Resilience To Improve Patient Outcomes”.

Presenter: Dr. Barry Jacobs.  Crozer-Keystone Family Medicine Residency

Link to presentation

  • Why Family Matters
    • Rapidly aging population (20% over 65 by 2030)
    • Rising incidence of chronic illnesses, functional limitations
    • Decreased hospital lengths of stay and emphasis on preventing bounce-backs
  • Family Caregiving in America
    • 43 million Americans engage in some form of caregiving activity
    • Heterogenous group.  E.g. 1/4 are Millenials (20s), 1/4 are Generation X-ers (30s)
    • 33% reported no strain, 49% some strain, 18% a lot of strain
  • Negative Effects
    • Dementia caregiving linked to 63% increased mortality, insomnia, depression, musculoskeletal, decreased use of preventative medical services
  • Positive Effects
    • Caregivers report personal and spiritual growth
  • Caregiver Intervention
    • Research from NYU Caregiver Intervention shows that it can forestall nursing home placement of Alzheimer’s patient for nearly 2 years
  • Elements of support programs
    • Frequent contact with multiple means (in-person, telephone, internet, etc)
    • Counseling
    • Acknowledgement
      • Identification of the caregiver in the patient’s chart
    • Communication
      • Ability to share observations, ask questions
    • Decision-making power
      • Include patient and family goals in care plans
    • Money
      • Payment incentives for healthcare providers to support faily caregivers
    • Assessment
      • Asking if the caregiver is willing and able to perform the tasks
    • Care management
      • Will need additional help when a patient is being transitioned from one care to another
    • Training and support
      • Better preparing the caregiver for complex medical tasks
    • Technology