Archive for the 'Lynn Feinberg' Category

Honoring our Families During National Alzheimer’s Disease Awareness Month and National Family Caregivers Month

Lynn Feinberg, Campaign Director

Imagine living with someone you are crazy about who gradually turns into a stranger. Alzheimer’s disease is a heartbreaking disease, not just because it takes a loved one in death, but because first, it takes that person’s mind, personality, memory and character – the things that made us love them in the first place.

Today, more than 5 million Americans suffer from Alzheimer’s disease, and that number is expected to grow to over 13 million by 2050, according to the Alzheimer’s Association.  In most of these cases spouses, adult children and other family members take on the burden of treatment decisions and care coordination, while also helping their loved one maximize their quality of life and live in dignity and comfort.  Although this terrible disease is devastating to all Americans, it is women – our mothers, grandmothers, great-grandmothers, aunts, sisters – who are most affected not only by having the disease itself, but also by being the primary caregivers of persons with Alzheimer’s disease and other chronic conditions in the U.S.

A recent report released by Maria Shriver and the Alzheimer’s Association, The Shriver Report: A Woman’s Nation Takes on Alzheimer’s, explores the issues around caring for a family member or friend with Alzheimer’s.  The report outlines the struggle women, in particular, face as they balance their responsibilities in the workplace while also caring for a parent or grandparent with the disease.  According to the report, the average unpaid Alzheimer’s caregivers are working women over the age of 50 providing care most frequently to their mothers (31%) and spouses (15%).

From the Campaign for Better Care’s national opinion research, we know they are taking on these responsibilities in a health care system that is fragmented and uncoordinated, making the weight of their caregiving responsibilities much heavier.  In a country like ours, it just isn’t right that people with Alzheimer’s disease and other chronic conditions don’t get the high quality, coordinated care they deserve.

Today, doctors lack the time to develop a relationship with the patient and his/her family – or coordinate with their other doctors, health and social service providers, and community supports. I envision a day when our health care system provides incentives for primary care doctors to routinely hold a family meeting with Alzheimer’s families in order to have a focused conversation about their values and preferences and plan their care, rather than just paying for more procedures and treatments. We need a health care system that promotes more effective communication among health care providers, patients and their families; strengthens continuity of care; and is organized to deliver team-based care that includes direct care workers (like home care aides) who are vital to the well-being of Alzheimer’s families – and every family that is caring for a loved one who is suffering.

This is what the Campaign for Better Care is all about.  We know that chronic conditions like Alzheimer’s disease affect not only patients, but their families too. We know that we must make our voices heard to make improvements in the health care system so that it delivers high quality, comprehensive, and coordinated care, especially for vulnerable older adults with multiple chronic conditions. Now is the time to act.

In November, as we celebrate both National Alzheimer’s Disease Awareness Month and National Family Caregivers Month, let us transform the national conversation and make meaningful change for our families and for ourselves.

Read about one family’s experience with Alzheimer’s disease here.

It’s Older Americans Month and My Family Needs Better Care! Does Yours?

Lynn Feinberg, Campaign Director

My two sisters and I are a team. For several years, as we each juggled our own work and family responsibilities, we willingly took on the role of “advocate” and “coordinator” of health care across settings (home, hospital, nursing home) for my father, who died last year at the age of 94. It wasn’t easy. At times it sapped our energy and our spirits. But we took on the role out of love and a deep respect for our father.

Now we are teaming up again for my mom. We have to – because none of our parents’ health care providers have taken on the critical role of coordinating care, communicating with each other, or linking us to the community supports that older adults need to maintain their independence, functional status, and quality of life. Older adults with multiple health problems, in particular, need doctors, nurses and other health providers who talk to each other and work together – along with the patient and their family caregivers – as a team. That’s the better way, but it’s out of reach for too many patients and families.

That’s why I hope you will get involved in our major new initiative, the Campaign for Better Care. The Campaign’s policy agenda aims to ensure that the reformed health care system provides the comprehensive and coordinated care that older adults with multiple health problems need and deserve. It will advocate at the federal and state levels to ensure that new models of delivering care are patient- and family-centered, team-based, and include important services like geriatric assessment, care planning, comprehensive care coordination, transition management between care settings, medication management, and community support for older adults and their family caregivers. It will promote payment strategies that support primary care practice and reward better quality, coordination and communication among health providers, patients and family caregivers.

May is Older Americans Month – a tradition dating back to 1963 that honors the legacies and ongoing contributions of older Americans. When Older Americans Month was established 47 years ago, only 17 million living Americans had reached their 65th birthdays. Today, there are nearly 40 million adults age 65 and older. And with the aging of the baby boom generation – the largest in our history – the U.S. older population is expected to grow to 71.5 million by 2030. In fact, the first baby boomers turn age 65 in 2011 and they will become eligible for Medicare. Will the health care policies of the future meet our needs more adequately than the policies affecting older Americans today?

If the Campaign for Better Care is successful, the answer will be yes! So during this Older Americans Month, let us all honor elders – our fathers, our mothers, our grandparents, great-grandparents, and other older relatives and friends. And let’s celebrate and support the launch of the Campaign for Better Care and work together to improve health care for older Americans and their families.