Episode Transcript
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Speaker 1 (00:02):
You're listening to lee COOM presents Heroes in Training. The
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(00:22):
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Welcome to LEECOM Health Matters. Our guest today is our
good friend, doctor Jamie Babiack, the director of operations at
the Leecomb Senior Living Center. Jamie, welcome, thank you, thank
(00:47):
you for your time, thank you for being with us
through our audience. And I have to let you know
that Jamie was the best pharmacy student that ever graduated
from Lee COOM. I'm her personal agent, so every time
I meet with her, I have to say that or
I feel I've not done my response on's ability. But Jamie,
thank you so much for being with us.
Speaker 2 (01:03):
We appreciate very much.
Speaker 3 (01:04):
Sure absolutely.
Speaker 2 (01:07):
In preparation for this, I was just looking through some numbers,
and you can argue numbers anywhere you want, But clearly
we're becoming an aging population. The number of people over
sixty five will grow in the next three years by
forty two percent. The number of people over eighty five
will go by one hundred and eleven percent. So as
(01:30):
we become older, my generation, the baby Boomers fifty seven
to seventy five, we also are getting older and we
represent about twenty two percent of the population. So as
people get older and they need assisted living, they need
senior care. I think this is a bursioning industry number one,
(01:53):
But I also think people have great confusion as to
number one, when that time that they have to call
for help, and then number two, when they call for help,
what do they do? So if we can backtrack a
little bit and say when should people begin to reach
(02:14):
out and say maybe mom or dad has to go
to a senior living facility. I know it's different. I
know it's probably not a fair question, but what are
the signs that people should start to think about some
type of transition from home to one of our senior
care facilities.
Speaker 4 (02:32):
Sure, so, I think as you know, we age, and
we see family members age, we definitely see things and
I'm sure they feel things, you know, that they used
to be able to do that they can't quite do anymore.
So maybe you know, taking a shower, or maybe getting dressed,
putting socks and shoes on. Maybe some of those things
are being supported by a family member or a spouse.
(02:54):
Obviously that's a very initial sign of, you know, things
that maybe we don't have the capability to do on
our own anymore. It moves into though, also medication management.
You know, maybe dad or mom took the wrong meds
the other day, even though their pillbox is filled out correctly,
or you know, maybe they just maybe they've been at
(03:15):
home and maybe they haven't showered in a week and
they kind of just forgot to shower, or maybe missed
some meals or you know, different things like that that
we really need somebody else to either remind or support
in some fashion. Is kind of the first initial, you know,
thought that it might be time to think of something different.
Speaker 2 (03:34):
So it's more a behavioral issue when people mom and
dad don't seem to be doing what they would normally do,
say ten years earlier, and as they age they need
some help. So if they learn it.
Speaker 4 (03:47):
Could certainly be cognitive too. I guess I should mention too,
from a cognitive standpoint, if there's things that you know
that are being forgotten, and maybe there's cognitive you know,
contribution to it as well.
Speaker 2 (04:00):
Well, I always forget my car keys, so I'll probably
be banging on your door.
Speaker 3 (04:04):
Well I forgot that. I forgot that, So there you go.
Speaker 2 (04:08):
So when the point comes that you know, the family,
I assume they talk about this with the family physician first, or.
Speaker 3 (04:15):
No, it's usually best to talk with the physician.
Speaker 4 (04:19):
You know, sometime when a family's involved, there can be
there can be certain.
Speaker 3 (04:24):
Things, you know, is there one child or spouse that's
involved in kind of leading it?
Speaker 4 (04:30):
Are there many people involved? Are there many people local versus.
Speaker 3 (04:34):
Out of town?
Speaker 4 (04:34):
But getting input from the family physician, especially if it's
someone that they've been seeing for quite some time, would
also be able to notice those changes and maybe be
able to kind of judge what level of care would
be the most appropriate, because the goal would always be
to keep the person as independent as possible for as
long as possible.
Speaker 2 (04:52):
And when it comes to that point that they can't
be independent and they call, what happens when they call,
say one of our senior living assistance facility. I think
this is a growing concern for many people, and I
think there's a lot of knowledge we have to provide
to dev what happens, I mean, how does this work,
(05:13):
What did they do?
Speaker 4 (05:15):
It can be very confusing, you know, for a lot
of us even so, so imagine it being you know,
one of the older adults that we care about, family
or friend wise, So when they call a lot of times,
you know, if they were to call any of our
referral lines or anything like that, the best thing to
do is kind of our team gathers lots of information
(05:35):
medical information, history, social information, all that kind of stuff,
and really the best thing to do is have one
of our nurses or one of our therapists lay eyes
on the person to actually see their function because we're
very familiar with, you know, what type of functioning would
would be for a certain level of care. So maybe
(05:57):
that means we just need a home care to type
aid to supplement, you know, maybe help them make a
shopping list, maybe help them get in and out of
the bathtub, or maybe help them, you know, with different
things like that around the house. That's kind of the
first introductory, or maybe they need help with lots more things,
including their medications. Maybe they have oxygen and they need
(06:19):
management on that. Maybe that's more of like that personal
care assisted living level of care. Or maybe they've had
a recent hospital stay and they really need some rehab
from you.
Speaker 3 (06:32):
Know, therapy.
Speaker 4 (06:33):
Maybe there's a wound and there's nursing that needs or
maybe there's twenty four to seven care that is needed
and at that time that would be more of a
skilled nursing facility appropriate. So it's really good to get
as much information as we can to see what level
of care would be the most appropriate for that person.
Speaker 2 (06:51):
So there are, in point of fact, different levels. When
we talk about personal care, you mean somebody going directly
to the home.
Speaker 4 (06:58):
Directly, Yeah, directly to like a senior living apartment setting
oftentimes and you know, really just moving right in and
they might need help with laundry and some lighthouse keeping
and medications. There's you know, a nurse or someone that
would give them their medication, so that was something they
didn't have to worry about. Maybe they need help with meals,
(07:20):
whether it's their diet or maybe just physically cutting things
up or you know that kind of stuff. Also doctor's appointments.
Maybe they have lots of doctor's appointments, but it's very
troublesome to get them scheduled and to get transportation. A
lot of those things can fit right into that personal
care or assisted living setting, and.
Speaker 2 (07:41):
They're living with us in our facilities when they do this.
Just to make the point painfully.
Speaker 4 (07:45):
Clear, yeah, exactly in their own apartments, so they bring
their own belongings, They make it you know, as homey
as possible, you know, based on what they would like,
and then we help them with everything else to kind of.
Speaker 2 (07:57):
Supplement that all of these decisions. Jamie, you said, somebody
calls a referral line. I assume after that initial contact
you want somebody to come in and see you face
to face, or somebody goes out to see them, yep.
And then they go through what type of level of
care that they need, and we recommend that and then
(08:20):
we take them as best we can. Now, what are
the particular levels of care generally that people could consider.
Speaker 4 (08:27):
So typically having someone come into your home, so whether
it's home help maybe from a therapy standpoint or from
a nursing standpoint, or maybe it's just a home care
aid that provides some of those lighter type duties like
helping with groceries, helping with some bathing, helping with some dressing,
maybe some medication reminders, but not giving the medication. That
(08:49):
would kind of be more of the community based setting.
So some support still needed, but we want to stay
in our home, and Jamie.
Speaker 2 (08:58):
For a moment that the going to the home is
the first level care so to speak. It's probably not
the correct definition that you might use, but that's the
first step is And for somebody mom and dad or
at home kids are working by themselves, basically, somebody is
going to come in and say, here's your medicines, I
mean here to check on that and that light kind
(09:19):
of right here.
Speaker 4 (09:21):
Right And that might be anything from you know, two
hours three days a week to eight hours a day
because you know, maybe my grandma lives with me, but
I work during the day and i just need someone
to be with her during the day, but I'm home
in the evening or something like that. So it could
really be anything just from a couple hours a week
up to more of a full time basis, depending on
(09:44):
you know, how much help is needed, and that keeps
that person in their home setting as you know, as
long as they can without needing more.
Speaker 2 (09:51):
And more, and all of these are individually tailored to
the needs of the patient and the family. It's not
a cookie cutter approach like you get two hours. It's
basically what this family need. Think I think it's really
I didn't know that that. You know, if you're taking
care of Grandma and you're working during the day, you
might need somebody for eight us through home and night.
(10:11):
On the other hand, if your home all day, so
we work that out with the family so that you
can stay home, which is ultimately the goal as long
as we can make this happen.
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Speaker 2 (11:22):
And then what was the next level?
Speaker 4 (11:25):
So I would say the next level would be like
a personal care or assisted living level where you know
there are lots.
Speaker 3 (11:34):
Of things that are needed more so than what we
could provide at home.
Speaker 4 (11:37):
So maybe there's a nurse involved in some nursing type care.
A patient can also receive home health if they need
therapy just to kind of get moving on their feet
a little bit more. Again, maybe they had a hospital
stay or something like that. You can receive home health
in a personal care and assisted living setting, and really
it's about it's more supportive than someone being at home
(12:00):
and doing some different things. Sometimes they check in, they
might check in every two hours. They make sure, you know,
everybody gets their meals two three meals a day, whatever
the patient wishes. They make sure they get showers, they
make sure they help with doctor's appointments, it's not quite
to the point where they're checking on them, you know, constantly.
(12:21):
So in a personal care or assisted living setting, they
could supplement with that home care type aid that I
was talking about as well, because maybe Grandma wanders around
a little bit, and even though our staff checks on her,
we want to make sure she doesn't go out of
her apartment and down the steps or.
Speaker 3 (12:40):
Something like that.
Speaker 4 (12:41):
So you can supplement even in a personal care setting
with that extra aid as well. That's something that can
be done. Personal care really kind of like their own apartment,
their own space, and so you know, you can kind
of add or take away sometimes different services from that
setting up as well.
Speaker 2 (13:01):
And then skilled is the next step if I understand correctly, and.
Speaker 3 (13:04):
Then skilled would be the next step.
Speaker 2 (13:05):
Yep.
Speaker 4 (13:05):
They would be in a skilled nursing facility for you know,
whatever period of time. So maybe it is a long
term potential plan or maybe it's a short term plan
after a hospital stay or after some type of event
that happened. So that would be where there's a nurse
and some aids taking care twenty four to seven, you know,
(13:28):
can be at the bedside. They'd be visited by their
physician on a regular basis, so that would certainly be
more care needed at the higher, you know, higher.
Speaker 3 (13:38):
Level of things.
Speaker 2 (13:39):
That's a house physician that we provide up, not their
other their normal physicians right.
Speaker 4 (13:44):
Right, Typically it's one of our attending physicians.
Speaker 2 (13:47):
Yep. And so Leecom has a growing versioning senior living footprint.
What are the types of facilities that we have.
Speaker 4 (13:58):
So we have home care service is that do go
into the personal care facilities or homes in the community. Also,
we have home care services that are provided in a
shared living arrangement where we have what we call our
share care homes where there's three individuals living in a
home and they have support from an aid twenty four
(14:19):
hours a day. We have personal care and independent living
apartment buildings. So if a person does want to maybe
downsize from their home but has not quite decided that
they need any care, they can move into a senior
apartment as an independent person, come and go as they please,
go to the pharmacy, go to the grocery store, really
(14:40):
just kind of live there, you know, as a senior
apartment setting. And if they do need care, they can
actually remain in their apartment and add that care package
on whenever that's needed, So that is another We do
have two facilities with memory care units as well on
that personal care hair level of things. And then we
(15:02):
have our skilled nursing facilities, three skilled nursing facilities for
a total of three hundred and eighty nine beds, as
well as a home health and hospice agency. So from
the end of the continuum of care, as far as
that goes. The hospice services really can be provided in
any one of the settings I describe, depending on you know,
(15:23):
the family's wishes, the patient's wishes, and the type of
support that they have. You know, that can be done
at home, or it can be done in a skilled
nursing facility or really anything in between.
Speaker 2 (15:34):
So really I think it's important for our audience as
they listen to this and think about this when you
refer to the continuum of care. We can take care
of mom and dad from that very beginning when they
just need somebody to go to the house and remind
them to take their meds and do some lighthouse keeping. Yep,
they progress and as they age, we're able to keep
(15:55):
them with the same people that they know, people they
have come to know people they have come to trust,
and we can provide that a whole continuum of care
four hour seniors, which is really what we're trying to
do correct.
Speaker 4 (16:08):
Right absolutely, And you know, along the way there's lots
of questions regarding you know, things that are difficult for
patients and for their families. You know, the financial piece
to this is significant. It is kind of you know,
also what plays into what level of care best fits
the patient, because not everything may be the same for everyone.
So that's a piece that you know, even if someone's
(16:31):
not ready today to make that change, it's kind of
good to maybe start that conversation to get some planning
to say, you know, if mom and dad needs something,
you know, what are our options right now with you know,
the finances that they have. How much are we going
to support them if we need to. So that's another
conversation that you know can be difficult for families to have,
(16:53):
but you know, the more you educate yourself on that,
the better you would be prepared, you know, when something
does need to change.
Speaker 2 (17:00):
And that was really my final question for today, Jamie.
The financial aspect of this is really a crucial element
and our as I understand, is to work with families.
It's not like we give you a villa and say
it's to sit down and it's a complicated issue. It's
a complicated conversation and sometimes a challenging conversation. But the
(17:20):
goal is not necessary to invade the families' finances, but
rather to work with them to see what we can
provide mom and dad that is reasonable and fair and
within their financial meets correct. You know, we're not going
to and it's all, it's even all. It's even difficult
to talk about because you hate to link those two together,
(17:40):
but the fact that the matter is providing this care
is critically important and it's critically expensive, and it's something
we have to do. So if somebody wants to find
you Jamie and Senior Living, what do they do?
Speaker 4 (17:56):
So we do have our referral line that we take
calls all day long. Our numbers eight one four eight
six eight three eight eight three, that's our referral line,
goes right to a person who can best direct you
to whatever level of care or whatever area of our
health system that you're looking for. We also have a
(18:17):
website where you can see some pictures and some more
information about our facilities. Leecom is aging dot com and.
Speaker 2 (18:26):
It is fair to say, after that initial referral called
if folks listening to this or hear this want to
physically see what these facilities look like. I assume through
that referral call when they when they meet with us,
they can tour and take a look at these and
see what they're putting their mom and dad into.
Speaker 3 (18:44):
Yeah.
Speaker 4 (18:44):
Absolutely, they can set up a tour through that referral line,
or they honestly can stop into any one of our
buildings during the day Monday through Friday, and we would
have staff that would be happy to give a tour
to anybody.
Speaker 2 (18:57):
Well, our guess today has been doctor Jamie Babyax. She's
director of operations at the Senior Living Center at Lecom.
And as we all get older, it's a challenge. It's
an older population that we have to care for that
we have to I think in many ways venerate older
people are not meant to be thrown to the side
of the road. You know. The Chinese venerate their elders,
(19:18):
and I think we have a long way to go,
and I think Lecom is making a huge step into
venerating our adults, making sure they're cared for and making
sure they're properly and I think the work that you
do with the SLC and doctor Lynn clearly is addicative
of that. Jamie, thank you for your time, Thank you
for your work. This is much senior being Week on
(19:40):
Health Matter