presented by Tracy Wayne Mitchell
by the National Care Planning Council
Also known as Care Management or Aging Care Management, a Geriatric Care Manager represents a growing service offering support to adult children who need outside assistance with care and personal management for their aging parents who live close by or far away. These adult children are are often employed and engaged with raising their own families. Looking after their parents has become difficult to do on their own.
Care managers are particularly useful in helping aging seniors find their way through the maze of long-term care services and issues. Here is a list of what a care manager might do:
- Assess the level and type of care needed and develop a care plan
- Take steps to start the care plan and keep it functioning
- Make sure care is received in a safe and disability friendly environment
- Resolve family conflicts and other family issues relating to long term care
- Become an advocate for the care recipient and the family caregiver
- Manage care for a loved one for out-of-town families
- Conduct ongoing assessments to monitor and implement changes in care
- Oversee and direct care provided at home
- Coordinate the efforts of key support systems
- Provide personal counseling
- Help with Medicaid qualification and application
- Arrange for services of legal and financial advisors
- Manage a conservatorship for a care recipient
- Provide assistance with placement in assisted living facilities or nursing homes
- Monitor the care of a family member in a nursing home or in assisted living
- Assist with the monitoring of medications
- Find appropriate solutions to avoid a crisis
- Coordinate medical appointments and medical information
- Provide transportation to medical appointments
- Assist families in positive decision making
- Develop long range plans for older loved ones not now needing care
The National Care Planning Council provides a listing service for families looking for care managers. The listing service is free. You can contact a care manager in your area for help and information.
Let’s look at a hypothetical example to see how valuable care managers can be.
Mary is caring for her husband at home. Because of diabetes, her husband has severe neuropathy in his legs and feet and it is difficult for him to walk. He also has diabetic retinopathy and cannot see very well. Mary has difficulty getting her husband out of bed, bathed and dressed. She relies on her son who lives nearby to help her manage her husband’s care.
On the advice of a friend Mary is told about a care manager, Susan, who helped the friend’s family cope with the care of a loved one. The cost of an initial assessment and care plan from the care manager is $300.00. Mary thinks she has the situation under control and $300.00 for someone from the outside to come in and tell her how to deal with her situation seems ridiculous.
One day Mary is trying to lift her husband and injures her back severely. She is bedridden and cannot care for her husband. Her son, who works full-time, now has two parents to care for. On the advice of the same friend he decides to bring in Susan and pay her fee himself.
Susan does a thorough assessment of the family’s needs. She arranges for Mary’s doctor to order Medicare home care during Mary’s recovery. Therapists come in and help Mary with exercises and advice on lifting. Susan advertises for and finds a private individual who is willing to live in the home for a period of time to help Mary with her recovery and watch over her husband. Susan makes sure the new caregiver is reliable and honest and that taxes are paid for the employment.
Susan enlists the support of the local area agency on aging and makes sure all services available are provided for the family. Susan also calls a meeting with Mary’s family and explains to them the care needs and how they need to commit to help with those needs. Susan makes arrangements to purchase medical equipment for lifting, moving and easier use of the bathroom facilities. Medicare will pay much of this cost.
Susan suggests using a geriatric care Physician she works closely with to help Mary in the care of her husband. The geriatrician meets with Mary and her husband and spends a great deal of time explaining the proper treatment and care of elderly with diabetes. He rearranges medications and puts Mary’s husband on a new insulin regimen to better control his blood sugar. The geriatric Physician feels that Mary’s husband has a chance of improving his health with proper treatment. If her husband adheres to the care plan, he may end up having a better quality of life for his remaining years.
With the help of the care manager, Mary’s life and future has been significantly improved.
Tracy Wayne Mitchell Author of THE INFORMED FED 