Chronic Disease Care
The chronic disease aspect of caring for our older adults will continue to complicate their care. Cases with multiple diseases overlapping make care and diagnosis complex not only for the primary caregiver but also for the medical practitioners who share a patient. Treatments need to have a holistic approach which is dependent upon good communication from the beginning.
Housing for older adults can take any number of forms ranging from living on their own to institutional living. We are challenging the current living arrangements paradigm and looking for other non-traditional or creative solutions where better care may be delivered.
Care needs range from simple and predictable to difficult and unpredictable. Aging adults are everywhere on the spectrum of needs. Can new models provide flexibility across all these needs?
As we are looking at new models for eldercare, we have suspended the financial component temporarily. If we were to take on the financial aspect, instantly we get into questions of Medicare and Medicaid. Upon accepting either of these payment systems we introduce regulation compliance that may unintentionally hamper new ideas.
We understand the competitive cost structure of the industry. By suspending the financial constraint, we can continue looking for ways to optimize the delivery of services at the target. We can also evaluate economies of scale which usually bring costs down and when they will be reached to be cost competitive. .
The majority of care recipients fit into Self-Management.
They can do most activities, but don't have any significant conditions that are debilitating.
The next group has a single condition that needs care. They may have cancer, diabetes, or Parkinson's. They need help in managing it.
The top group requires significantly more care. They have multiple diseases that overlap, significantly complicating care. Sometimes the symptoms require care strategies that may conflict. These overlaping conditions require a higher level of coordination between care providers.
The personal care pyramid puts into context the challenges an aging adult may face. Starting at the bottom, they may need help with basic chore services.
ADL's or Activities of Daily Living is a way to simply evaluate their capabilities. As their ability to complete these activities declines, their dependency increases. These often coincide with their medical care needs.