Louisville Medicine Volume 66, Issue 10 | Page 21

FEATURE ELDERSERVE CAN BE A Model for the Community Waqar Saleem, MD N ot a week passes without me hearing the question, “What can I do for my elderly parents to keep them safe?” It’s mostly asked by a child of a loved one, but occasionally by other caregivers as well. These can be some of the hardest discussions to have with families. Mostly, elderly parents want to stay independent in their own house, while caregivers want their safety, either in their own home or in a facility setting. There are no easy answers for these questions. It’s even harder when there are no family members. With aging comes a number of challenges such as poor cogni- tion, decreased mobility and a host of chronic medical problems. This population is particularly vulnerable to issues like elder abuse, financial fraud, loneliness, psychiatric issues like depression and anxiety, poor mobility, poverty and insufficient nutritional meals, to name a few. With health care costs rising and limited funding, the elderly are less likely to seek out help to address these issues. In Jefferson County, we are fortunate to have number of health care entities focused on elder care. These include some great long- term care organizations, assisted living facilities, home health care organizations and a few non-profits. One of these entities is the non-profit organization ElderServe. Since 1962, ElderServe has been supporting adults aged 60 and older in Jefferson County. Their program includes four major goals. I’d like to review these goals and examine how they can be implemented by the Louisville community at large. 1. SUPPORTING INDEPENDENCE THROUGH CARE MANAGEMENT, HOME CARE SERVICES AND ADULT DAY HEALTH CENTERS. Care management helps to navigate geriatric care resources. The goal is to answer questions regarding affordable housing, social activities, legal and financial issues, safety and security. Home care services include light housekeeping, laundry, meal preparation and cleanup, shopping, appointments, companionship, bathing, grooming, dressing, eating and medication reminders. An Adult Day Health Center is an excellent option for elderly to live independently as their caregiver goes to work. The center has a nurse on duty to take care of seniors with health issues, check blood sugar and blood pressure, and handle emergencies. They serve lunch MARCH 2019 19