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Caring for the Oldest Old at Home Part 2: Strategies for Quality Care

presented by Tina Marrelli, MSN, MA, RN, FAAN and Nathalie Rennell, MSN, RN, CNE

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Disclosure Statement:

Financial: Tina Marrelli is an employee and share holder of Marrelli and Assoc. Inc, with book sales. Tina Marrelli is  a share holder with book sales of Innovative Caregiving Solutions LLC. Tina Marrelli is an author who receives book royalties from Sigma Theta Tau International Publishing. Tina Marrelli receives compensation from MedBridge for this course. Nonfinancial— No relevant nonfinancial relationship exists.
Financial— Nathalie Rennell receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 40 Minutes; Learning Assessment Time: 7 Minutes

This is Part Two of a two-part series about Caring for the Oldest Old. The exemplars of Otto Glass and Mika Hiuga will be revisited from several perspectives in this course. The largest payer for home care and hospice is Medicare. By definition, Medicare is the medical insurance for people over 65. This course will identify qualifying criteria of when and what services can be provided to patients. It will also assess care planning and considerations of the oldest old. This course is specifically designed for the home care and hospice team members who coordinate and provide care for the oldest old patient population, including those who are frail, with a compassionate, evidence-based practice approach.

Meet Your Instructors

Tina Marrelli, MSN, MA, RN, FAAN

Tina Marrelli is the president of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement (6th edition, 2018). Other books include A Guide for Caregiving: What's Next? Planning…

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Nathalie Rennell, MSN, RN, CNE

Nathalie Rennell currently cares for her medically fragile grandson. Prior to making this transition, she was an instructor in the RN-BSN/CEP programs and on the honors faculty with the Edson College of Nursing and Health Innovation at Arizona State University (ASU). She was also faculty at the Phoenix Institute for Herbal Medicine and Acupuncture (PIHMA).…

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Chapters & Learning Objectives

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1. Care at Home: Considerations for the Oldest Old

It is the goal of many to remain in their homes, living independently in the community until death. This chapter presents information about Medicare, as it is the largest payer of home care and hospice. Medicare has qualifying criteria, and it is important to be familiar with which services can be provided to patients and when. This includes aspects of coverage for ADLs and IADLs that aides provide to the oldest old.

2. Care Planning

This chapter presents a patient example to show assessment, management, and care planning considerations for the oldest old. Participants will also be given the opportunity to develop an individualized care plan for an older adult who is frail. For demonstration purposes, an exemplar care plan will be included.

3. Caregiving Considerations: Family and Friends Making the Difference in the Community

How does the emerging science of caregiving inform best practices for these frail, at-risk elders? This chapter seeks to present information to help support these caregivers who live with and help their family member or friend remain in the community. Caregiving for those with non-cancer diagnoses can last for many years. This chapter goes over the caregiver statistics and initiatives related to caregiving, as well as what makes a good caregiver.

4. Insights on Caregiving

How are caregivers assessed and supported? What are some available resources? Home care and hospice organizations have an important role to play in educating and supporting these caregivers.

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