I’d like to personally welcome and introduce you to Jamie Spencer Rusk as our new Director of Community Relations. It’s an exciting time for Care Pathways as we continue to grow,we strive to remain committed and responsive to the Orange County Community of seniors and families we care for.

We pride ourselves on being Orange Counties finest senior care referral resource and are so pleased to welcome Jamie aboard!

Jamie brings with her a wealth of knowledge, caring and compassion for others. Her background in community relations, community programs and assisting case mangers, social workers and physicians in understanding what is available in Orange County for their senior clients growing needs is indeed a valuable asset to our care community.

Our organization is confronting a time of many changes and we’re meeting these changes during a time of larger changes that are taking place in senior care.. The care for others takes a special gifted person and we feel our organization is blessed to have Jamie join Care Pathways.

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By: Mary Kay Evans LCSW

No one’s on the same page, let alone the same chapter, and sometimes I wonder if we even are reading the same book, when it comes to health-care.

I’ve seen so many miscommunications, lack of transferring of information, (vital information), as well as system changes that are meant to have better outcomes in patient care, that has sorely left the patient in limbo and lacking at times. Putting the patient at high risk for poor outcomes.

When a patient is transferred from one hospital to another, or a long-term care facility, all vital information goes with the transfer. However not all communication gets read, forwarded, or looked at. With the technology we have today, via electronic records in hospitals, you would think this would be a no brainer.

Case in point: Patient is transferred from one acute care hospital unit to a sister hospital for a surgical procedure and is not to return to transferring hospital. All information goes along with patient on this vital part of transfer. Yet when speaking with case-manager at sister hospital, they are under the impression patient is going back to acute rehab at original hospital. Calls are made to inform and notes are entered into electronic record of patient that patient will not be going back, not once, not twice but three times. There is a discharge plan in place for this patient who suffers from a stroke, recent mastectomy, cancer, COPD and requires long term care. However patient is informed on same day of surgical procedure that she is discharged and can go home. Patient lives alone, no family and is at high risk due to multiple medical issues.

This is just one of the many cases I see where a patient’s ,health, safety are at risk when vital communication is not either read, sent, or omitted from patients medical record. In this day and age with all the new and improved ways of communicating medical information in real time, the system is only as good as the user.

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Who’s going to take care of you if you become sick?
Talk about care needs while you’re still Healthy
With over thirty years of experience is social work I have found this to be one of the last topics of conversation that comes up with senior’s and their families when they are still able to discuss long-term care planning. Senior’s and adult children have long had the misconception that Medicare will pay for long term care and this is still the case in some situations.

The adult child sometimes feels an obligation and is sensitive to their parents needs and do what they can but only to the limits of logic and reason. You cannot ask the adult child to sacrifice his own physical health from stress of round the clock care and today most adult children work out of the home some are still raising their own children so moving in with an adult child does not always work out.


Here are five compelling reasons for older people and their families to get serious about how they will deal with care needs:

Odds favor needing long-term care. Already, 1 in 7 people over age 65 needs in-home care, and nearly 40 percent of those older than 85 need some form of care, according to a recent fact sheet from the Urban Institute. Another 1.6 million seniors live in nursing homes, and half of them are 85 or older. As many as 70 percent of people who are now 65 will need long-term care at some point during their remaining lives. And the incidence of Alzheimer’s rises with age, with fully half of people 85 and older likely to suffer from the disease.

Care expenses are high and rising. Whether at home or in a nursing facility, long-term care costs have been steadily rising, and can top $100,000 a year for nursing care in an expensive market.

Government will be forced to trim care benefits. All signs point to future cutbacks in government healthcare and entitlement programs. Medicaid has become the default provider of nursing home care to disabled but only if a senior meets the medical criteria for care.

Board and Care For many Board and Care is the best option for long term care. It has been shown that seniors who live in a Board and Care receive the best care and feel like they are living at their own home. They provide all the comforts of home as well as many services on site that larger facilities do.

The rate is more affordable than skilled nursing care homes, private caregivers, and large assisted living facilities and the risk for falls and readmission to hospitals is lower. And patient to caregiver ratio is higher. Care can be reimbursed by most long-term care insurance policies. Veterans long-term care benefits is also accepted as well as private pay.

For more information or to find the best solution for long term care needs contact Care Pathways and speak with a social worker directly. Serving the Orange County Care Community of seniors since 1999.

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