Why Hire a Geriatric Care Manager?
"During one especially difficult period with my mother, living in an assisted living facility, I hired All-Inclusive Senior Advisors, first for a consultation and then for additional help at an hourly rate. Sandy helped solve a series of complex problems that I doubt, I’d have solved by myself, mostly involving working with the management of the facility to ensure my mother's care and physicians orders were being followed. I had gotten to the point that all I could do was scream at them, which was making a bad situation worse, so having an advocate was a blessing. Also, Sandy, who visited regularly with my mother, often was privy to concerns she was keeping from me, and she was always there for me by telephone, which was a lifesaver." KS.
Geriatric care management integrates health care and psychological care with other needed services such as: housing, home care services, nutritional services, assistance with activities of daily living, socialization programs, as well as financial and legal planning (e.g. banking, trusts). A care plan tailored for specific circumstances is prepared after a comprehensive assessment has taken place, and is continuously monitored and modified as needed. A comprehensive geriatric care assessment is thorough and can take anywhere from 2 to 5 hours in length. The comprehensive assessment is composed of a primary intake assessment which includes demographic type data as well as a health history, social history, & legal/financial history. From there, a medication profile assessment is included, as well as an assessment of ADLs (Activities of Daily Living) and IADLs (Instrumental Activities of Daily Living). In addition other assessments may include; Falls risk assessment, Home safety assessment, Nutritional assessment, Depression assessment, Pain assessment, Mini Mental State Exam (MMSE), Balance assessment, and Gait assessment(ability to walk). If the comprehensive geriatric care management assessment is being conducted by a Nurse, then a physical assessment can be included such as vitals signs recording temperature, pulse, respirations, blood pressure, and oxygen saturation. In addition, physical assessments in areas such as cardiopulmonary, gastrointestinal, musculoskeletal, genitourinary, eyes/ears/nose/throat, integumentary(skin), lower extremities inspection, as well as a modified neuro assessment and medication compliance assessment.
What circumstances are most suitable and valuable for using a geriatric care manager?
Geriatric Care Managers help individuals, families and other caregivers adjust and cope with the challenges of aging or disability by:
- Conducting care-planning assessments to identify needs, problems and eligibility for assistance;
- Screening, arranging, and monitoring in-home help and other services;
- Reviewing financial, legal, or medical issues;
- Offering referrals to specialists to avoid future problems and to conserve assets;
- Providing crisis intervention;
- Acting as a liaison to families at a distance;
- Making sure things are going well and alerting families of problems;
- Assisting with moving their clients to or from a retirement complex, assisted living facility, rehabilitation, facility or nursing home;
- Providing client and family education and advocacy;
- Offering counseling and support
A relationship with a professional geriatric care manager can allow the spouse and or children of the elderly person to fulfill their role as the spouse and or children, while the geriatric care professional manages the situation. When a husband, wife, son or daughter are providing the hands-on care to their loved one, the quality time they have to be there emotionally for that person is limited. The care manager can handle the difficult interpersonal issues, address the immediate problem, remain connected once the crisis passes and get back involved as the situation requires it