Understanding ElderCare – The 5 Levels of ElderCare

In June 2016 I attended a conference in Vancouver, BC Canada.  I sold my books at this conference and I was contacted a few days after by Lee Meng Choe from Singapore, inquiring if he could write an article for his client newsletter and use my book.  Below I have noted a little bit about Lee Meng Choe and a link to the wonderful article he did on my book!  This proves; Elder care education is happening everywhere!!  Thanks Lee!!

Carol Chiarito, Founder


lee meng 2

Lee Meng Choe, a Fellow Chartered Financial Practitioner, is a practicing financial planner with 16 years of experience.  He primarily focuses on solving the financial planning issues faced by the middle class where good financial advice can make the most difference.  To him, the impact of good or bad financial advice to these group of people who are “too rich to be poor and too poor to be rich” is the difference between financial independence and bankruptcy.

A co-creator of the “Building Transferable Wealth” financial planning concept, he is passionate about sharing the concept to help bring clarity to the complexities of personal financial planning. 

His areas of specialization includes Financial Plan Design, Identifying Planning Gaps, Insurance Needs Analysis, Planning for Retirement and Estate Planning.

Meng Choe is currently a Financial Services Director with Professional Investment Advisory Services Pte Ltd, one of the leading financial advisory firms in Singapore.

 Click on this link to be directed to his article: http://www.gen.com.sg/insurance/understanding-eldercare-the-5-levels-of-eldercare/

Part II- Trauma and Aging

Dr. Kori Novak

     In the second of this three-part series, we are going to look at how trauma informed care is executed…or not. Initially we looked at what trauma is, and really defined it as anything that causes suffering, pain or negative human emotions.  That’s to say, it’s a huge array of everything.  Your trauma is not necessarily my trauma.  Instead, it is the WAY that trauma manifests in an individual’s life that matters.  So how can that affect the health and well-being of a person?  Well, we can do a whole other blog on just that topic. Instead of following that rabbit trail, let’s skip to how we use TIC in healthcare, and acknowledge that the traumas are going to be there.

Part III Trauma and Aging

In this final installment of the three-part blog on trauma informed care, we are going to consider why trauma informed care seems to be underutilized in our current healthcare system. We will also consider how we might increase the quality of care for our loved ones by using it, and encouraging caregivers and healthcare providers to use it as well.

            The greatest generation has seen more wars than any other generation, living or gone.  Beginning with World War I, WWII, Korea, Vietnam, The Gulf War, Iran, Iraq, Afghanistan, throughout their lifetime these individuals have experienced more loss and various forms of grief than any in our current time. We know that these types of losses can affect every part of our life, whether we decide to face them or bury them away to deal with ‘later’. Keeping this in mind it is difficult to understand why we don’t practice trauma informed care.  Understanding the difficulties that elders have endured during their lifetime and treating them accordingly is a concept that shouldn’t be difficult, and yet we rarely see it in practice.  Why?  Well, in my opinion there are a few reasons. 

            One of the most obvious is that many of these individuals are very private about their past pain. This is the ‘stiff upper lip’ generation.  They tend not to talk about their experiences or don’t think that these traumatic experiences affected them.  In these cases, it is important for family and friends to help guide health or care professionals by sharing stories and insights into their loved ones life and assuring that their needs, if they are specific are understood.   

            Another reason TIC is not used is that this is not something that is taught in any formal way in medical or nursing school, or any type of health care education.  While it is used more in behavioral health and in other industries such as law enforcement, general health care doesn’t teach practitioners about it.  But it really should be simple, it’s about having empathy for patients.  One way or another patients will let their caregivers know what is acceptable and what is not, the question is, do they have to suffer additional trauma before we figure it out. 

            Finally, one of the reasons TIC is often not practiced is because it takes time.  This is often time that physicians don’t have, not because they don’t’ care, but often because they have to move to the next patient in order to stay on track for the day.  There are many reasons for this, but that is another blog.  The bottom line is that physicians simply do not often have the time to spend getting to know or understand the traumas their patients may have experienced in order to treat them.  Don’t get me wrong, I’m not blaming physicians at all for this issue.  It is simply how our health care system works right now. 

            I don’t have a perfect answer for the question at hand, but as the concept of trauma informed care continues to grow, so do the opportunities for our older loved ones. For more information about trauma informed care you can get more information from the National Association of State Mental Health Program Directors at http://www.nasmhpd.org/content/national-center-trauma-informed-care-nctic-0

Or at the Substance Abuse and Mental Health Services Administration at


A Note From our Founder & CEO

Carol Chiarito CareMatch America Founder and CEO


I am so happy to roll out to you our newest version of CarematchAmerica.  The Carematch team has been dedicating their time and research to you, the consumer to discover the real trials and tribulations of the elder care journey.  I feel we are moving down a path designed with the consumer's needs and wants in mind, while creating a better and more successful marketing experience for the care providers.

Page 3 of 4