1. 1 Webinar Session One: Issues and Challenges June 23, 2011 3pm

2. 2 Ann O’Sullivan, OTR/L, LSW, FAOTA Family Caregiver Support Program Southern Maine Agency on Aging Kathy Adams, OTR/L, ATP AT Specialist Maine CITE Coordinating Center Presenters

3.  This webinar will be recorded/archived  The power point is on your computer screen  We are listening to the presenters over the phone  Please mute your phone line: press * 6  The Chat box is on the left column ◦ ….this is were you will type in your questions/comments during the webinar

4.  Provide information about resources in Maine to support the complex needs of family caregivers who assist seniors living at home  Explain aspects of assessing caregiver needs  Discuss how to deal with the demands of care giving  Introduce common assistive technology adaptations

5. 5  Direct personal care  Supervision  Medical management  Socialization  Information  Orientation  Security  Alternatives to facility placement  Advocacy  Transportation  Context-specific knowledge  Complex care 5

6. 6  Manage complicated medications  Give injections  Perform suctioning  Administer tube feedings  Provide wound care  Prepare special diets  Manage oxygen  Handle heavy equipment  Assist with mobility  Assist with ADL / IADL 6

7. 7  Follow through on plans  Care transitions  Client’s continued health and wellbeing  Sustainable outcomes 7

8. 8  Self-identification  Ask the client  Able and willing 8

9. 9  Capabilities  Liabilities  Training needs  Resource needs  Stress / burden  Sustainability of plan 9

10. 10  Competing priorities  Pressure of increased dependency  Uncertain end point 10

11. 11  Physical  Time  Environment  Family history  Relationship changes  Emotional stress  Individual factors 11

12. 12  Medical issues  Fatigue  Lack of sleep  Impaired senses  Size discrepancy 12

13. 13  Competing demands  Multiple needs  Distance  Pressure 13

14. 14  Who provides care?  Who makes decisions?  Who is involved?  Underlying issues 14

15. 15  Role changes  Loss / change in meaningful occupations  Loss / change in relationship  Intimate personal care 15

16. 16  Depression / Anxiety  Guilt  Grief  Isolation  Anger  Need for mastery 16

17. 17  Literacy / health literacy  Economic  Previous experiences  Learning style  Adaptation to situation  Support system  Learning priorities 17

18. 18  Meaning  Supportive of sustained function?  Safety  Expense  Adaptability ongoing Environmental Factors 18

19. 19 What other family care giving issues do you see in your work with families in Maine? Question for the Audience….

20. To maintain or improve Independence & Safety

21. Door Alarms Personal locator device

22. 22 Lifting/Transfer Device

24. 24 “Tools & Ideas for Easier Living” Maine CITE’s publications that describe devices available to help seniors/caregivers make life safer & easier. 1.Accessing and Using Computers 2.Getting Around: Inside and Outside 3.Grasping, Holding and Reaching 4.Making Living Environments More User Friendly & Safer 5.Organizing and Remembering 6.Recreation and Leisure Activities ◦ visit www.mainecite.orgwww.mainecite.org

25. 25 What issues do you want us to address next week in Session II: Strategies and Solutions?

26. 26 Contact Information Ann O’Sullivan, OTR/L, LSW, FAOTA Family Caregiver Support Program Southern Maine Agency on Aging 207-396-6541 aosullivan@smaaa.org Kathy Adams, OTR/L, ATP Maine CITE Coordinating Center University of Maine 207-621-3195 kadamsot@maine.rr.com

27. 27 Join us next week on June 30 th at 3pm Strategies and Solutions Please take a moment to complete the Webinar Evaluation Form After we receive the Evaluation Form, the Attendance Certificate will be sent. In closing…