Assignment 01.1: Caregiving Interviews

Assignment 01.1: Caregiving Interviews This assignment will assess the competency 1. Analyze basic measures of health status and health services utilization as a continuum. Directions This project requires you to interview three different individuals involved in long term care. It is an important activity and time intensive. A. Begin this assignment with an introductory overview of the different types of caregivers, their roles, and the availability of payment (if any) from third-party sources, such as insurance, for these caregivers' services. B. Interview the following three types of people: A care recipient.  A caregiver who is not being paid (family member or friend of the care recipient).  A professional who provides care to people with long-term illnesses (ranging from physicians to in-home assistants). Note: Interviewing people who are part of the same dyad is not necessary. If a care recipient/caregiver pair is interviewed, each person should be interviewed alone so that answers are individual. These interviews can be completed in person, over the phone, email, Instant Messaging, etc. However, it’s best if you can actually speak to the person. C. Use the following sets of questions for your interviews: Questions for Person Receiving Care, Questions for In-Home Caregiver, Questions for Professional Provider. Questions for Interview Questions for Person Receiving Care What are your major health problems? How many doctors do you see and how often? How long have you had a chronic condition? How long have you needed help? Have you ever utilized a nursing facility, assisted living, home health, or adult day care? What services do you receive from other people? Who provides those services (e.g., disciplines, organizations, etc.)? Who coordinates your care? What happens if the person or people who care for you are not available? How is care paid for? How has depending on another person affected your social life? How has depending on another person affected you financially? How has depending on another person affected your emotional well-being? What coping techniques would you recommend to a person who has become disabled to enable them to maximize their enjoyment of life? Questions for In-Home Caregiver (Formal or Informal) Who do you provide care for? What is your relationship (e.g., spouse, informal friend, paid caregiver)? How long have you cared for this person? How many hours a day or week do you provide care? What services or activities do you do for this person? What activities do you help them do? If you are ill, or otherwise unavailable, who provides care for the person? Are you compensated for the services you provide? If so, who pays you? Do you ever experience burnout? If so, what do you do to alleviate it? How has caring for another person affected your social life? How has caring for another person affected you financially? How has caring for another person affected your emotional well-being? What is the most challenging aspect of being a caregiver? What is the most rewarding aspect of being a caregiver? For formal employees only: Do you have a written contract that specifies your responsibilities? Questions for Professional Provider *Note: Use the appropriate word for the people they care for: patient, resident, participant, client, etc. The word patient is used in the questions below; substitute the preferred term. What services do you personally provide? Are your patients primarily people with acute conditions or long-term conditions? On average, how long do you provide care to a patient (in months, weeks, days - not minutes per treatment)? Are many of your patients receiving multiple services? If yes, what other services do they typically receive? How do you coordinate with providers of other services? How are your services paid for? Does the payer place constraints on the amount or type of service you can provide? If so, what is an example? Do you work with case managers? If so, what services do they provide? What do they contribute to a patient’s care? What types of psychosocial issues arise for your patients who have long-term conditions? Do you typically interact with family members of the patient? If so, what are their greatest challenges in dealing with an ill family member? Are your services, your interaction, or your philosophy in providing care different for patients that you know have long-term or permanent disabilities than for patients with acute problems? Have the recent financial changes at the federal level made any difference in the services you can provide or refer your patients to? Have any changes in state regulations or payment mechanisms occurred recently that affect the way you practice? Overall, what do you find most satisfying about caring for people with long-term conditions? D. Conclude the project with a critique answering the following questions, and taking into account all of the segments of the continuum of care studied to-date:  Is the client receiving the care he/she needs? Are the caregivers able to provide the care needed? Why or why not?  Is another level of care needed? Why or why not?  What have you learned about the existing system of long-term care? Criteria 1. Paper details an introductory overview of the different types of caregivers, their roles, and the availability of payment (if any) from third-party sources for these caregivers' services. 2. Paper details an interview of a person receiving care. 3. Paper details an interview of a formal or informal in-home caregiver. 4. Paper details an interview of a professional provider. 5. Paper concludes with a critique taking into account all of the segments of the continuum of care studied to-date. 6. Paper is the appropriate length, demonstrates accurate and appropriate grammar and spelling, and cites references if/when appropriate.