Stress Management & Self-Care for Homecare Clinicians During COVID-19
Our work and lives are increasingly stressful. Dealing with too much stress can harm our health, relationships at home and at work, and lead to burnout. The popular Professor Elizabeth Galik returns to explore issues of stress and strategies for stress management and self-care for both clinicians and administrators during these challenging times. This session will be moderated by Dr. Charlene Brown.
You will learn how to distinguish stress from burnout and serious psychiatric conditions and implement action and emotion-oriented stress management approaches.
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Elizabeth Galik, PHD, CRNP, FAAN, FAANP
Dr. Elizabeth Galik is a Professor at the University of Maryland School of Nursing and a nurse practitioner who specializes in improving neuropsychiatric care practices for older adults and their caregivers. In addition to her teaching, she has served as the Principal Investigator of 4 externally funded research grants that focus on working with caregivers to optimize function and physical activity and effectively manage behavioral symptoms among older adults with dementia.
Dr. Galik provides patient care to older adults and their caregivers in outpatient clinics, assisted living facilities, nursing homes, and also has developed a house call practice for dementia symptom management. She has served as a Past President of the Gerontological Advanced Practice Nurses Association, a Scientific Review member for the National Institute on Aging and the International Psychogeriatric Association. Additionally, she is the Co-Editor in Chief of Caring for the Ages and an expert advisor for the Centers for Medicare and Medicaid to improve behavioral health and reduce the inappropriate use of psychotropic medications in long term care and acute care settings.
Charlene Brown MD, MPH, FACPM
Dr. Charlene Brown is a public health physician expert who has overseen testing and outreach strategies for multiple global pandemics. As a Medical Officer at USAID, she advised local teams tackling the HIV pandemic in nearly 20 countries across 4 continents. She contributed to global policy frameworks for diagnostic testing through consultations at the World Health Organization. Prior to USAID, Dr. Brown served as the Deputy Health Commissioner for Medical Operations at the Baltimore City Health Department and led multiple medical safety reviews on antiviral drugs for the FDA.
Dr. Brown has authored multiple peer-reviewed journal articles and been featured in national and local news outlets discussing COVID-19 and testing, including Yahoo Finance, the Chicago Tribune, Baltimore Sun, and Vox. She served as an Adjunct Assistant Professor at Emory Medical School and has worked as a clinician in retirement homes, rehabilitation hospitals, primary care clinics, homeless shelters, and more
As a physician entrepreneur, Dr. Brown founded CNA Simulations VR, a reimagining of clinical training for certified nursing assistants through virtual reality. Before that, she founded Caregiver Jobs Now, an award-winning platform connecting caregivers to meaningful jobs in senior care. Dr. Charlene Brown is Board-certified in Preventive Medicine, trained in internal medicine, licensed to practice in Maryland, and a Fellow in the American College of Preventive Medicine. She is a graduate of Princeton University, Harvard Medical School, and the Harvard T. Chan School of Public Health. Dr. Brown serves on the Community Health Board of Keswick Multi-Care.
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Understanding Mental Distress Among Children Receiving Homecare during COVID-19
Friday, December 4, 2020 from 11:00 AM - 12:00 PM
Join Dr. Luke Kalb as he discusses mental health among children during the COVID-19 pandemic. This will help us all learn how to support children who are vulnerable during this difficult time. This session will take a closer look at the lives and emotional health of children who require care at home, particularly those with developmental disabilities. There are important lessons to be learned about how the pandemic is affecting children of all abilities.
This session will be moderated Noson Weisbord.
Dr. Luther Kalb
Dr. Luther (Luke) Kalb is a public health researcher. Since the onset of COVID-19, his epidemiologic research has explored how the pandemic has affected the mental health of adults and children. Surprisingly, mental distress is higher in young people than in older populations!
Prior to COVID-19, Dr. Kalb’s research aimed to improve mental health outcomes among vulnerable populations, especially youth with a developmental disability. His primary research interests involve understanding the phenomenology, epidemiology, and treatment of mental health crises. In addition, his research includes assessing the effectiveness of community-based mental health programs, epidemiology of health services, psychometrics and measure development, and use of health information systems to improve clinical care.
Recently, his research and teaching have focused on positive mental health and well-being. This can be seen in his course “Public Health and the Good Life”, which is taught at the Johns Hopkins Bloomberg School of Public Health, where he is Assistant Professor in the Department of Mental Health. This is also evinced by his research and collaborations as Chair of the National Research Consortium on Mental Health in Intellectual and Developmental Disabilities. At Kennedy Krieger, Dr. Kalb is Director of the Informatics Program at the Center for Autism and Related Disorders and serves as a faculty researcher in the Department of Neuropsychology.
Dr. Luther (Luke) Kalb received his PhD from the Department of Mental Health at the Johns Hopkins Bloomberg School of Public Health. During his studies, he received an NIMH Children’s Mental Health Services research fellowship, the Morton Kramer award for excellence in Epidemiology and Biostatistics, an F-31 award through NICHD, and was named a Wendy Klag Center Scholar. He has published dozens of articles in peer-reviewed journals and his work has been featured by Reuters, AAP News, WebMD, the San Francisco Chronicle, Pew Research, and FOX45 News in Baltimore.
Post-COVID Clinical Considerations in the Home
Thursday, December 10, 2020 from 4:00 - 5:00 PM
COVID-19 has changed our world and has presented new challenges in the way we provide Home Health Care, more than we ever imagined. There are many challenges and questions we face today when treating people with this new “disease,” from the PPE needs, the extra time required to provide the care, and the increased risks of exposure, to the unknown physiological effects and long term effects of COVID -19. Whether our patients were hospitalized or not, it is imperative that we arm ourselves with the most information available to provide appropriate care and to identify manifestations and complications of COVID-19.
While much of the pathogenesis of COVID-19 is still unknown, there are increasing cases of hyper-coagulopathy and microvascular occlusion, with a secondary viremia, attacking various organs such as the lungs, heart, kidneys, gastrointestinal tract, and vast distal vasculature. Some people have mild effects and others experience extreme responses to the virus. Regardless of the patient’s acute responses, they can be left with a multitude of manifestations, which we need to understand.
In this course, we will learn the clinical considerations for providing home health care services to older adults with COVID and post-COVID. From the restrictive lung and diffusion issues, to the aerobic muscle fiber loss, and cutaneous manifestations, we will discuss treatment approaches, signs and symptoms of complications, and how to progress these patients back to safe activities and independence.
This session will be moderated by Dr. Charlene Brown.
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Linda Justice Teodosio, PT, DScPT, COS-C
Dr. Linda Teodosio is a Physical Therapist who has specialized in rehabilitation of older adults, for the past 31 years. She has extensive experience in Home Health Care in Maryland, as a clinical leader for various home health agencies, and is currently a Division Rehab Manager with Bayada Home Health.
She has developed several multidisciplinary clinical programs for the treatment of older adults, and has presented many CEU events throughout Maryland, to educate both professionals and clients in the fundamentals of aging in place, Vestibular Rehabilitation, fall risk reduction strategies, and caring for those with Alzheimer’s and other dementias.
In 2011, Linda earned a terminal doctoral degree in Physical Therapy. She has held several community leadership positions, and is currently a Board Member of the Maryland National Home Care Association, and the American Physical Therapy Association, Home Health Section.
Caring for Older Adults with COVID in the Home: Garnering Community Support
Tuesday, December 15, 2020 from 4:00 - 5:00 PM
Older adults are dying at higher rates due to COVID-19. They may also be less willing to receive limited ICU care when younger people are in so much need. As the pandemic escalates this winter, our protocols, clinicians, and community resources must be prepared and optimized to safely manage older adults who have COVID-19 infection in the home. Are Maryland's DME suppliers ready with oxygen tanks and ultra-rapid delivery systems? Are home care providers prepared to actively manage older adults with COVID-19 in their homes?
Join Dr. Alan Abrams as he walks through real-life examples of COVID-19 care of older adults in the home, reviewing pitfalls and key lessons learned through his experiences.
Alan Abrams, MD, MPH
Dr. Alan Abrams is a geriatrician with more than four decades of experience in developing health care delivery models for older and frailer adults and a faculty member at Harvard Medical School. He sits on the Board of Directors for Senior Helpers, a national provider of in-home care services, also serving as the Geriatric Clinical Advisor for Senior Helpers franchisees across the country. Dr. Abrams is the Chief Medical Officer for PerfectHealth, a provider of personalized, comprehensive health services delivered to seniors in their homes. His leadership shaped the COVID- 19 response for both Senior Helpers and Perfect Health
Previously, Dr. Abrams served as the Chief Medical Officer of Harvard’s Beth Israel Deaconess Care Organization and as the founding Medical Director of UnitedHealth’s Special Needs Plan for People Living in Nursing Homes and their dual eligible Senior Care Options program. In addition, he was the Cambridge Health Alliance Medical Director of the Center of Excellence for Senior Health which included a start-up PACE program as well as both a national and state award-winning house call medicine program.
Dr. Abrams was awarded the Physician of the Year Award from the National Association of Home Care in 1993 and was the AMDA delegate to the 2015 White House Conference on Aging and a Certified Medical Director. Dr. Abrams holds an MPH from Harvard T.H. Chan School of Public Health in Boston and an MD from New York University School of Medicine. He completed his internal medicine residency at the Cambridge Hospital in Cambridge, Massachusetts and fellowship in geriatrics at Harvard Medical School.
Dr. Charlene Brown
Charlene Brown MD, MPH is a public health physician expert who has worked on global pandemics throughout her career. As a Medical Officer at USAID, she advised local teams tackling the HIV pandemic in nearly 20 countries and participated in multiple WHO consultations. Prior to USAID, Dr. Brown served as the Deputy Health Commissioner for Baltimore City and led several antiviral drug safety reviews at the FDA.
Dr. Brown has authored peer-reviewed journal articles and been featured in news outlets discussing COVID-19, including Yahoo Finance, the Chicago Tribune, Baltimore Sun, and Vox. She has worked as a clinician in nursing homes, hospitals, clinics, shelters, and more
As an entrepreneur, Dr. Brown founded CNA Simulations VR, building virtual clinical simulations for CNAs, and Caregiver Jobs Now, a platform connecting caregivers to meaningful jobs. Dr. Brown is Board-certified in Preventive Medicine, trained in internal medicine, and licensed to practice in Maryland. She is a graduate of Princeton, Harvard Medical School, and the Harvard T. Chan School of Public Health and sits on the Keswick Community Health Board.
Caring for the Caregiver - A CNA’s Perspective
Thursday, December 17, 2020 from 5:00 - 6:00 PM
Are you feeling stressed out? Do you want to take all of your gloves, masks, and gowns and toss them into a fire? Do you feel like you’re going to scream if you hear the word COVID one more time? Well you are not alone!
Join Ama Adepa Gryn, an experienced and passionate CNA, as she focuses on the burnout most caregivers experience due to the pandemic, and what both caregivers and their employers can do to support caregivers during this trying time.
Ama Adepa Gryn, CNA
While some people choose to become a certified nursing assistant (CNA), others simply fall into it. Ms. Ama Adepa Gryn considered CNA training because of the passion and positive experiences of her aunt who has worked as a CNA for many years. Ama has now been a CNA in the home care industry for many years. She has personal experience as a CNA working in home care during the pandemic and can speak to the community misinformation about COVID-19 that she has heard in her West African community.
Ms. Gryn is also an Honors graduate of Montgomery College and an undergraduate student at the University of Maryland. In her prior role as a Senior Caregiver Specialist for Caregiver Jobs Now, she spoke with hundreds of CNAs about their careers.
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