Introduction Terminology

Relationships with … … anyone … doctors

People's desires … caused us to create Care Systems
… until the closing phase of life.

Lessons learned :  🩸 blood pressure meter, 💊︎▦ pill-organizer-planner-sorter, upright rollator.

Random statistics

Terminology

Activities of Daily Living ADL

[ Seems to not include babies nor toddlers.  A family member is barely holding onto these, handling the last item for only two kinds of food. ]

Instrumental Activities of Daily Living IADL

[ Seems to include most adults.  Tweens, teens, and 20-somethings are picking up these skills. ]

Plus, see socioemotional selection theory SST.

References

[1]  [ If you provide any of the services above for someone else, you are a caregiver / carer:

Relationships with …

… anyone

Really 👂︎ listen to people:

People's desires

According to socioemotional selectivity theory SST …

Young healthy stable people focus on:

Old, the ill, and people about to-move:

Terminally-ill people want to:

Thus, we attempted to create care systems consistent with this …

… until the closing phase of life.

Remember the narrowing focus, to here and now – the people and experiences near us.

A mounting series of crises, from which medicine can offer only temporary rescue.

[ With 📱︎ 911 , or ] in the 🏥︎ ER/ED or hospital, you may lose all control over your care:

Review sections on Hospice treatment priorities above, and Lessons learned below.

[ If it applies, review the Dementia Road Map:  A Guide for Family and Care Partners.  Adobe Acrobat Reader file

For full effect, select the video image above or to right, then icons YouTube (if present), ⏯︎ ⊠ Skip Ads (if present),  full­screen, and ▶︎ Play.  ]

… from other sources

[ We are all temporarily-abled.

    — Source unknown, I heard it a long time ago.  Although on , I heard Dr. Siddhartha Mukherjee say that ⚕︎ doctors understand very well that they will soon be on the other side of the exam table. ]

[ Design everything for your future self:

  • Build your websites with text large-enough, contrast high-enough, and all that accessibility stuff.
  • Design/​acquire/​modify your 🏠︎ home with your ♿ future abilities and limitations in mind.
  • Etc. ]

[ In the USA, you can use data from Medicare.gov to find a good ⚕︎ doctor, 🏥︎ hospital, nursing home, rehab, home services, supplies, equipment, etc. > your need > your location > set Sort by to Overall Rating, if possible > look for good overall and patient satisfaction ratings.

In the USA, you can use data from US News and World Reports to find a good ⚕︎ doctor, 🏥︎ hospital, senior living, Medicare Advantage company, drug, treatment, or diet > your need > your location > set Sort By to Ranking, if possible > scorecard, outcomes, etc.

= Search carefully for 3-Stage Retirement Villages 3SRV / CCRC / LPC / LPRC / LTCF.   TODO:  write this section. ]

🩸 blood pressure meter, 💊︎▦ pill-organizer-planner-sorter, upright rollator.

Do not fear the 💊︎pill-organizer-planner-sorter

[ I heard medical professionals call it a 💊︎mediset, but pill-sorter, pill-organizer or pill-planner are more specific, and Search Engines say are more commonly-used.  I prefer pill-sorter.

Regardless, starting to use one too early is way better than starting too late:

Random statistics …

63% of doctors   overestimate future survival time.  By an average of 530%!

17% of doctors underestimate future survival time.

Risk factors for falling (and breaking your hip):

  1. Poor balance.
  2. Taking more than 💊︎💊︎💊︎💊︎ four prescriptions ℞.
  3. Muscle weakness.

    [  One thing that can be done about this.  ]

Cancer costs are U-shaped:

25% of Medicare spending is for 5% of patients, in their final year of life.

More than half of those living in 3-Stage Retirement Villages 3SRV / CCRC / LPC / LPRC / LTCF run through their savings.