Services

Geriatric Care Management Services focuses on identifying the current and future needs of clients, with attention to the physical, emotional, psychosocial and spiritual needs of a client. Services include:

  • Comprehensive assessment

  • Personalized Care Plan

  • Memory care guidance

  • Senior Living Guidance

  • Ongoing support and guidance

  • Crisis management

As the “point person” for problems, concerns and needs, support is just a call away.

For many, remaining in their own home as they age is the priority that Katherine hears most often. For others, they are looking for a community where they have support and friendship right on site. Working within the framework of maintaining the least restrictive environment for her clients while keeping safety at the forefront of her recommendations, this work is done with compassionate engagement and ensuring the concerns of her clients, and their family, are heard.

Able to recommend the most appropriate service that will support the client and the family, Katherine coordinates and monitors services and make adjustments as needs change. She works closely with trusted referral partners in support of the care plan and assuring that new issues or concerns are addressed in a timely manner.

And when the unexpected happens, Katherine is there to respond. Whether that means a visit to the home, the Emergency Room or hospital, your loved one will have a dedicated advocate there to provide care coordination, support and communication to all care partners.

For local and long-distance family members alike, Katherine brings peace of mind and reduced stress of having ongoing monitoring, communication and support. All of this is done with a compassionate approach to your loved one, one who can listen to your loved one’s fears and concerns. This allows you to focus on your relationship with your loved one, rather than just hoping you are making the right decision.

    • Conduct a comprehensive assessment detailing the clients functional status, client and care partners needs and wishes.

    • Create and discuss a customized Care Plan with options to address areas identified by assessment and conversation with client and care partner .

    • Home Care Coordination: Identify and coordinate referrals and follow up with trusted referral partners.

    • Work with trusted referral partners to address the physical, emotional, legal and financial considerations important to each client.

    • Senior Living Guidance: When living at home no longer meets a client needs or they want to plan for the future. Evaluate for and recommend alternate living options.

    • Monitor care in the home or at residential facilities and recommend changes as necessary.

    • Family support: Guide family members to support caregiving, understanding options and decision making process.

    • Serve as liaison and advocate between client, healthcare providers, attorneys, family members and care partners.

    • Crisis Management: Whether at the clients home, ER/Hospital, or community living setting.

    • Provide guidance on Advance Directives, legal planning and eligibility for community services.

  • For those living with memory related conditions and their care partners.

    • Personalized guidance with daily functioning, care coordination, and consideration of long term care needs.

    • Individualized guidance to primary care partner in response to challenges brought by cognitive impairment.

    • Personalized recommendations and guidance for activities that keep minds and hands active.

    • Geriatric Care Management services as listed above, with focused attention to safety, management of challenging behaviors and quality of life for the client and care partner.

  • Guide clients in considering options that meet current and future needs.

    • Evaluate and discuss need and desire for alternate living options.

    • Provide personalized recommendations for options such as CCRC’s, Independent Living, Assisted Living, Memory Care or other options.

    • Assist with touring communities, the application & admissions process, through move-in and successful transition to a new community.

    • New resident orientation: Set up room, assist in learning community routines, bring to programs, arrange for services.

    • Oversee care and engagement at the community. Advocate with staff as needed.

    • Assist with errands or delivery of items and other needs.

    • Provide regular updates for family on how client is adapting to new community.

    • Accompany clients to medical appointments to ensure comprehensive communication.

    • Communicate visit information to family and/or care partners.

    • Communicate needs with all providers so as to minimize

    • Coordinate new medication orders, follow-up appointments and testing.

    • Crisis Advocacy: Address emergency situations, whether at the clients home, community living setting, ER or the hospital.

    • Meet client in ER to facilitate communication between client and staff.

    • Consult with staff to discuss status, care plan and discharge care needs.

    • Oversee transition from a hospital admission or rehab stay.

    • Advocate to ensure clients wishes are reflected in the care plan, with attention to Advanced Directives and clients wishes for care.

    • Assistance with filing Long Term Care Insurance claim and overseeing payment.

  • At home, a senior living community or hospital

    • Function as the “point person” for all requests, problems, concerns and needs

    • Provide guidance and support to care partners on meeting the clients needs.

    • Advocate to represent the client’s best interest with professionals such as attorneys, financial planners, daily money managers and more.

  • For all the quality of life extras. Having one skilled person serving as the point person for your loved one.

    • Assistance with errands. getting to/from appointments, meal planning/prep, errands.

    • Organization: Mail processing, bill payment, piles of paperwork, photo organization, clothes.

    • Seasonal/Holiday: Change over of clothes, linens, decorating, shopping, wrapping and mailing of presents.

    • Drive to social events or activities in the community.

    • Navigating the Internet and helping with online tasks.

    • Vacation coverage: Be your eyes and ears while you are away to provide peace of mind.

    • Help coordinate the upkeep of a private home and household management services.

    • Other short-term or long-term needs as requested

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