Vision Rehabilitation Archives - CARF International https://carf.org/blog-programs/vision-rehabilitation/ Commission on the Accreditation of Rehabilitation Facilities Mon, 13 Nov 2023 22:41:41 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://carf.org/wp-content/uploads/2023/08/cropped-carf-favicon.png?w=32 Vision Rehabilitation Archives - CARF International https://carf.org/blog-programs/vision-rehabilitation/ 32 32 218515885 Social Workers: Generations Strong https://carf.org/blog/social-workers-generations-strong/ Tue, 31 Mar 2020 15:00:11 +0000 https://carf.org/?p=6753 March is Social Work Month. This year’s theme, Social Workers: Generations Strong,...

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March is Social Work Month. This year’s theme, Social Workers: Generations Strong, honors the powerful, positive impact the profession has had on society.

During this unprecedented pandemic, CARF acknowledges all social workers during National Social Work Month in collaboration with our International Advisory Council member, the National Association of Social Workers (NASW). We deeply value the courageous work of those in the field who continue to serve their communities and connect persons in need to essential services. We echo the combined statement of solidarity by NASW and the Canadian Association of Social Workers (CASW) in supporting our network of social services. Read the statement.

During the month of March, CARF recognized social workers across health and human services. Following this year’s Generations Strong theme, we reached out to social workers at various stages of their careers in the aging services field. Below are their insights on the social work profession.

Q: Briefly describe your career in the social work field. How did you get started? What motivated you?

I started in the social work field to make a lasting impact on individual lives one little victory at a time. We know there are significant system-related issues; however, it motivated me to start this career to be the bridge for patients’ access to services and counseling. 
—Jonathan Moore, M.S.W., Clinical Social Worker, Maple Health Centre, Maple, ON

I was working in geriatrics as a psychiatric treatment assistant in the summers while I completed college. I was thinking at first of environmental studies, but the head nurse on my unit strongly encouraged me to be in a “people field” like social work. I listened to her advice.
— Karen Appel, LICSW, Director of Social Services, Heritage Health Care Center, Utica, NY

I was motivated to serve at a young adult age—after someone provided local agency support for my maternal grandparent who received dialysis services that required a lot of care coordination by a case manager. This was gratifying to learn that someone cared about a member of my family that much when we lived three hours away. The support services were in place, and this gave my family members advocacy services that allowed us to focus on the caregiver role more. 
— Andrea Mckie-Bradley, Social Services Director, ACTS Retirement-Life Communities, Charlotte, NC

I have always had an interest in working with people in a helping profession. I started by working in community services and quickly realized that in order to better serve my clients as well as to develop myself professionally, I would need formal training and education. 
— Devora Waxman, Director, Social Work and Care Coordination, Better Living Health and Community Services, Toronto, ON

I studied social work in college with a concentration in gerontology and graduated in 1985. I originally wanted to work with children; however, I was required to do an internship in a nursing home. After that, I never left the long-term care setting. 
— Linda Unger, Social Service Coordinator

I have been in the field for almost 21 years, all in geriatrics. I got into the field because my grandmother lived with Alzheimer’s disease, and I wanted to help others who are affected. Now I am providing dementia education to other staff in my community. 
— Catherine Nakonetschny, LCSW, Social Services Coordinator, The Evergreens, Philadelphia, PA

While getting my undergraduate degree, I rented housing from an 86-year-old woman, and we became friends. I saw her spirit, her strength, and her challenges. She taught me to grow roses and bake bread, how to keep house and to go on adventures. I changed my major from music to social work, graduating in 1974 with a B.S.S.W., and going on to attain an M.S.W. in 1978, obtaining my LCSW, and finding a long, satisfying career in geriatrics. I have loved every job, some more than others, but have always learned and grown. I am very near retirement, and I could be considered a peer counselor at this point, but my passion for the work is stronger than ever. I love coming to work each day, feeling strong and committed, and going home knowing I connected, supported, and helped clients and team members. 
— Barbara Bolin, M.S.W., LCSW, Social Worker, Goodwin House, Alexandria, VA

I started my career in 1996, working at a children’s residential facility as mental health home-based clinician, then as a case manager, helping others to help themselves and advocating for those who do not have a voice.
— Teri Miskowski, Assistant Administrator, Rice Manor, Parma, MI

Q: What was it like to be a social worker when you began your career?

It was quite the experience as I was only 22 when starting my career. I was assisting individuals a lot older than me, but over time I gained confidence. I started to see the impact of my work and of my fellow social workers. That is what pushed me to complete my M.S.W. to create further systemic change.
— Jonathan

I started in [redacted] and worked in subsidized housing for senior citizens. I was a jack of all trades there, calling Bingo, taking residents on trips, etc. After a few years, I returned to [redacted], but as a social worker, having completed my B.S.W. and a master’s degree in geriatrics as I knew it was my profession of choice. 
— Karen

It was hard. There was not a lot of guidance when I first started, but that has improved over the years. 
— Catherine

When I began my career, the field of geriatrics was fairly new. Services for behavioral health were more comprehensive and Medicare coverage was more comprehensive. There seemed to be more community-based programs for mental health, in-home support, and activism. On the bright side, there is so much more knowledge about aging, dementia, and abilities in the aging person. People are living longer; have a “younger opinion” of themselves; and have access to information about fitness, diet, and healthy aging.  
— Barbara

Q: How has social work changed over your time in the field?

I have been in the field for about eight years now. When I first started, it was very much based on advocacy. However, with systemic pressures and funding cuts, unfortunately clients suffer. However, over time, I learned when working in the healthcare system, the more informed the clients are, the more you can empower them. This is where I started to see the impact I wanted to have in society. I learned you have to change the system from within and celebrate the small victories along the way. As social workers, we continue to push for change and advocate for our clients. I foresee there will be a big shift in the coming years in healthcare especially. 
— Jonathan

As our population is aging and drawing more resources from the healthcare system, the system is becoming strained and struggling to meet the needs of patients. Social workers in the community are providing services to clients who years ago would have been in long-term care beds. Our clients are incredibly frail and complex, and our practice has needed to change in order to meet our clients’ needs. 
— Devora

I believe over time the role of the social worker has become more important in long-term care. 
— Linda

I think we have access to more resources, including colleagues from other states and backgrounds. It gives me different perspectives to consider. 
— Catherine

I see social work as leading the way in bringing attention and empathy to so many populations such as LGBTQ, transgender, immigrants, considering and calling out racial and religious discrimination, mental health, social media, and so many more realms. Social work has not shunned tough societal problems, and always seeks to assure dignity and respect for all. 
— Barbara

Q: If you could give a piece of advice to someone considering a career in social work, what would you tell that person?

I would tell them to consider a career in geriatric social work. With our aging population, there is tremendous professional opportunity as well as the opportunity for a very rewarding career! 
— Devora

Remember why you are a social worker. Some days are going to be really difficult, but if you remember why you do this work, it will make those days few and far between. 
— Catherine

Learn all you can about the art and craft of social work, keep your horizons as broad and diverse as possible, and seek knowledge and awareness from every place and everything. Keep asking ‘what if’ and ‘what next’ and ‘what more.’ 
— Barbara

Focus on the individuals you serve, speak your mind, and share your thoughts and concerns in advocating for them. They are our focus, and we work strictly for them and their well-being. 
— Teri

As we enter this new decade and Social Work Month comes to an end, CARF honors the powerful and positive impact social work has on society. We wish to thank those who contributed to this article as well as all social workers across the health and human services field.

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10 tips: How unpaid caregivers can beat burnout https://carf.org/blog/how-unpaid-caregivers-beat-burnout/ Wed, 13 Nov 2019 15:00:24 +0000 https://carf.org/?p=4136 November is National Family Caregiver Month sponsored by the Caregiver Action Network....

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November is National Family Caregiver Month sponsored by the Caregiver Action Network.

With a growing aging population, many adult children and other loved ones step up to provide care. It seems idyllic for seniors to reside with relatives instead of unfamiliar staff in a retirement community, and for those with illnesses or disabilities to be cared for by people who know and love them, but family caregivers take on a significant amount of work in addition to regular jobs and family responsibilities, which can lead to extreme burnout.

The Caregiver Action Network, formerly the National Family Caregivers Association, reports that more than 43 million Americans care for a loved one who is aging or lives with a chronic illness or disability—and the scope of their work is significant. Gallup reports that the average unpaid caregiver spends a full 13 days per month on tasks like shopping, food preparation, housekeeping, laundry, transportation, and giving medication; 6 days on feeding, dressing, grooming, and bathing; and 13 hours researching care services or information on disability or disease, coordinating healthcare appointments, and managing financial matters.

Although this around-the-clock caregiver’s level of dedication is admirable, the time and effort required can take a toll—especially if a caregiver has other responsibilities and challenges. As the average age of an unpaid caregiver is 49.2 years old, many are still in full-time jobs and/or juggling parental responsibilities. AARP, a CARF International Advisory Council (IAC) member, found that 60% of caregivers in the U.S. also work other jobs, nearly half have struggled to balance caregiving with work, and 8% report their career growth is affected by caregiving responsibilities.

Caregiving stress results in a range of physical and emotional symptoms. In one American Psychological Association (also a CARF IAC member) study comparing caregivers with non-caregivers, caregivers displayed a 23% higher level of stress hormones and a 15% lower level of antibody responses. Persons caring for family members with dementia were more likely to have weakened immune systems and greater odds of developing chronic illness. And caregivers providing 36-plus hours of care per week were more likely to display depression or anxiety. Many caregivers may be unlikely to seek treatment for their own symptoms or acknowledge their burnout or need for help due to feelings of guilt and a sense of duty to the care of their loved one.

“Caregivers are taken for granted, and they are invisible in the system,” said Georgetown University Professor of Public Policy Judy Feder. “It’s bad for them, it’s bad for care recipients, and it’s bad for the system.”

What can be done to address your threat of burnout if you’re a caregiver? In recognition of National Family Caregiver Month in November, some experts weighed in with these tips:

  1. Acknowledge your challenging role. Admitting your job is not always easy doesn’t imply a lack of devotion to your loved one; rather, it’s the first step in finding solutions. “Daughters, spouses, partners, and friends frequently do not perceive themselves as a caregiver—and as a result, do not recognize the need to seek support or don’t know the ‘language’ that can open doors to valuable resources,” says Jed Johnson, CARF’s managing director of Aging Services.
  2. Don’t expect perfection. You may not be able to handle every element of your caregiving job on your own, or you may need to go part-time. You’re human; you may make mistakes; choose the wrong options; and get tired, frustrated, or snarky. Forgive yourself and move forward. “It’s normal to feel guilty sometimes, but understand that no one is a perfect caregiver,” notes staff of the Mayo Clinic. “Believe you are doing the best you can and making the best decisions you can at any given time.”
  3. Accept help. Don’t be too proud to accept help offered by friends or other family members. Keep a list of tasks others could complete for you— perhaps running errands, bringing a meal, or providing transportation for your loved one.
  4. Set realistic goals. Establish boundaries by saying no to actions and events you know to cause too much stress, such as taking your loved one on a faraway trip or hosting a major family gathering on their behalf.
  5. Stay organized. Eliminate hurry and indecision by keeping lists and calendars and breaking each day down into manageable routines.
  6. Become connected. Learn about caregiver resources in your community. Support groups made up of like-minded individuals may allow you to vent your frustrations while sharing joys and sorrows. You may also identify services such as transportation, meal delivery, or housekeeping that are geared toward caregivers.
  7. Don’t isolate yourself. Spending every day focusing on your loved one without other socialization can make you feel alone. Schedule time with other family and friends who can support you in your caregiving goals, and pursue activities you find relaxing and enjoyable.
  8. Advocate for your own health. Control your stress levels and maintain your wellness by following a solid sleep routine, staying hydrated, having regular physicals, and seeking counseling as needed. An impartial third party can help you understand and cope with your feelings.
  9. Look into respite care. Respite care comes in several forms and may be covered by insurance. Options include in-home aides, adult care centers, or short-term care programs. “Respite care provides relief for the caregiver and helps to reduce burden and stress,” advises Johnson, who recommends checking out the ARCH National Respite Network and Resource Center. “It can be for a few hours a day, a few days a week, or even a few weeks a year.”
  10. Take advantage of industry resources. Optimize the help and resources available through caregiver advocacy organizations. Johnson recommends AARP; the Family Caregiver Alliance/National Center on Caregiving; the Caregiver Action Network; and the National Alliance for Caregiving.

Caring for a loved one can be a full-time commitment. Recognizing the physical, mental, and emotional challenges of being an unpaid caregiver is crucial in keeping yourself from becoming overwhelmed. Asking for help does not mean you are any less committed to your loved one; it will only make you a better caregiver to arm yourself with resources in order to provide the best care possible.

CARF’s provider search can help you find an accredited program in your area. Visit our Resources page to explore consumer guides and articles on caring and advocating for the health of your loved ones.

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Your health literacy: 5 ways to be your own best advocate https://carf.org/blog/your-health-literacy/ Mon, 25 Feb 2019 15:00:34 +0000 With healthcare information more widely available than ever, consumers are boosting their...

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With healthcare information more widely available than ever, consumers are boosting their health literacy, taking the initiative to educate themselves more thoroughly on how to take care of themselves.

“Consumer engagement with healthcare continues to grow, from searching for care and accessing new channels of care to tracking and sharing health data,” notes a recent Deloitte study. “Health systems, clinicians and health plans — as well as biopharmaceutical and medical device companies — are developing tools and strategies that can help consumers become more engaged in their health.”

Here are some suggestions for taking control of your own health literacy.

Be an informed healthcare consumer

Keep copies of your health records from all providers you see and share them with new or different providers as needed. Keep a written list of the names of every medication you take and every condition you have so you can share this information as needed with new healthcare providers as well as research them to keep up on breaking news that may be related.

Choose providers wisely

When possible, do some screening. You may be under time pressure or other stress when looking for a provider, but it’s perfectly reasonable to try and conduct online research, read reviews, schedule visits and tours, and ask questions until you feel confident you’ve chosen the best possible option. Facilities and providers can greatly vary in quality and effectiveness.

Of course, such screening is crucial when it comes to continuing care retirement communities (which also should be checked for financial soundness) and assisted living facilities. Look to do screening of these types of services in advance of when you or your loved one might need them.

Make use of technology

Even if you’re not particularly tech-savvy, it’s worth your while to learn to use some digital and mobile technology that helps you communicate with providers, track your own health, get info on demand, remember appointments, etc. This type of technology is often called telemedicine, or telehealth.

Patient portals, for example, are handy, secure websites offered by providers that allow them to provide updates on your personal health information 24–7. They allow you to track recent doctor visits, get lab results, request prescription refills, make payments, and more.

Another area of health technology’s popularity is mobile health (mhealth). You can use smartphone apps to help remind you of healthy behaviors, prescription schedules, or other assistance.

Know who will know

Be aware of the primary authorities for information on common conditions and illnesses. Many have resources for people and their families. Examples include the Brain Injury Association of America, the National Stroke Association, the United Spinal Association, ACRM, the American Psychiatric Association, and AARP.

For more ideas, ask your doctor or healthcare provider which authorities (and their websites) you can research on your own time.

Understand your rights

In the U.S., download and read the U.S. government’s Consumer Action Handbook and read the section on healthcare to be clear on your rights as a healthcare consumer.

In Canada, ABC Life Literacy’s Health Literacy section offers concrete tips to prepare for your next healthcare visit, including what your rights are and what to do if you feel they have not been met.

Never be afraid to seek information and ask questions. Taking charge of your own health and making educated decisions about providers can be empowering.

One place to start can be CARF’s provider search feature. Programs accredited by CARF are implementing best practices to help them address the unique personal healthcare factors of the people they serve.

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