caregiver-coordination

Caregiver Coordination Skill

Family caregiving fails in a predictable shape: the nearest sibling absorbs everything by default, information lives in one exhausted head, and resentment does the scheduling. This skill makes the work visible before dividing it — a care map of what actually needs doing and when — then builds a rotation that survives real life (backups, escalation rules, no martyrs) and a binder so that any authorized helper can act without phoning the exhausted one.

What This Skill Produces

• The care map — every recurring need (medical, daily living, household, financial-admin, companionship) with frequency and skill level required
• The rotation — who covers what, with explicit backup rules and a definition of "covered"
• The binder outline — medications, providers, insurance, legal documents, routines — the transferable brain
• The family meeting agenda — a repeatable structure that surfaces load honestly and renegotiates before resentment does

Required Inputs

Ask for these if not provided:

• The care recipient's situation — needs by category, what they can still do (preserving autonomy is part of care), what's changing
• The helper roster — family, friends, paid help; each person's distance, capacity, and constraints stated honestly
• What exists today — who's doing what now (the invisible-load audit), any legal groundwork (POA, healthcare proxy) — existing or missing
• The friction — what fight keeps happening; the schedule must route around known fault lines

Framework: The Fair-Division Rules

1. Map before dividing: list every task with frequency and required skill. Invisible work (appointment scheduling, insurance calls, being the worrier-in-chief) goes on the map — it's usually the heaviest load and the least counted.
2. Match by capacity, not geography alone: the far sibling can own insurance calls, bill-pay, appointment scheduling, and nightly check-in calls. "I'm not local" removes some tasks, not all — the map makes that concrete.
3. Backup is part of the assignment: every slot has a named backup and a swap protocol. A rotation without backups is the nearest sibling's schedule with extra steps.
4. Escalation rules in writing: what symptoms/events trigger a call to whom, in what order, including 911-first conditions — decided calmly, not at 2am.
5. Renegotiate on a clock: care needs ratchet upward; the meeting cadence (monthly, plus after any hospitalization) re-runs the map so the schedule tracks reality, and the when-home-care-isn't-enough conversation is scheduled before it's an emergency.

Output Format

Care Plan: [name]

Care Map

| Need | Frequency | Skill needed | Currently done by | Visible before? |

|---|---|---|---|---|

Rotation

| Slot/Task | Owner | Backup | "Covered" means |

|---|---|---|---|

Swap protocol: [how] · Escalation: [symptom → who → then who; 911-first list]

The Binder

[Sections: medications+pharmacy · providers+portals · insurance/ID · legal docs+locations · daily routines+preferences · this rotation]

Family Meeting Agenda ([cadence])

1. Load check — each person, honestly 2. What changed in [name]'s needs 3. Re-run the map 4. The next threshold and its trigger

> Legal instruments (POA, healthcare proxy) and benefits eligibility are jurisdiction-specific — verify with an elder-law attorney or local agency; this skill organizes the family's work around them.

Quality Checks

• [ ] Invisible/administrative work appears on the map with a frequency
• [ ] Every rotation slot has a named backup
• [ ] Escalation rules are written and ordered, with 911-first conditions
• [ ] Remote helpers carry real load, itemized
• [ ] The renegotiation cadence and the next-threshold conversation are scheduled

Anti-Patterns

• [ ] Do not divide tasks before mapping them — invisible load stays invisible and the spiral continues
• [ ] Do not let "closest = default owner" stand without naming it as a choice being made
• [ ] Do not build a rotation with no backups — it's a single point of failure wearing a schedule
• [ ] Do not plan around the care recipient — their preferences and remaining autonomy are inputs, not obstacles
• [ ] Do not give legal or medical advice — organize around professionals, and route those questions to them