Eldercare in Indian Country. Shelly Zylstra [email protected] Overview. What? How are things different now? What are the possibilities? How do I go about setting this up? Success stories. Next Steps. What?. When Title VI –C was added, it seemed like an odd choice for funding.
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Title VI Programs gather elders together. allocation.
There are programs to support elders stay in their own homes.
Many of these services are not currently used on reservations.
ICWA allows children to stay in communities, but the elders may be the only homes for them--so elders may be raising children.
Tribal Communities are renewing their traditional ways.What is Different?
Using Title VI-C money to set up a service may make the service reimbursable under the Medicaid Waiver for elders who are eligible.
The Medicaid money may help to sustain services.
Connect with your State Unit on Aging or the Area Agency on Aging in your area to see how to get contracted to provide these services for your elders and their caregiver.Medicaid Waiver Services
In some tribes, family meetings are held to get the whole family involved with the elders care.
A social worker, clinic nurse, or case manager evaluates the elder to see what the care needs are.
The whole family comes to the same place, usually with the elder.
Staff prepare a meal, while the family discusses who will do each task to help the elders.
They sign a contract!Family Care Management
Short term; catheter, wound care, transfer, bathing
Mid-term; range of motion exercises, ambulation
Long term caregivers need information about what to expect.
Congestive heart failure
Neuromuscular illnesses like ALS, MSTraining
Wizard of Oz
St. Patrick’s Day
Transferring and bathing
Death and DyingCaregiver Conference
Keeping the circle intact.