Care Management: Here to Help

Author

Piece by Piece Care Management

Posted on

Oct 19, 2015

There is much to know about the needs of seniors and the complexities of Aging in Place options. Navigating our complex health care system along with all the legal, social, medical and financial aspects can be overwhelming for anyone. Care managers can provide the guidance and support you need to assist you or your loved one with this process. A Care Manager is a skilled professional, often times a social worker or nurse who completes an initial assessment and develops a care plan as a guide, with recommended support and services. In-Home Assessment: The Care Manager determines the level of care needed by the client to fit their specific needs. An assessment is conducted that includes their current health status as well as a review of their health insurance, previous doctors' visits and current health care plan. A comprehensive care plan is formulated from the information collected.

Short & Long-Term Management: Primary beneficiaries of Care Management services include families with aging parent or anyone with a recent medical event that resulted in an acute decline in health. For Short-term instances, the care manager will determine home safety and help you locate health care agencies and medical equipment. For long-term cases, they provide ongoing care for those with dementia or Alzheimer's disease or those who have suffered a stroke, heart attack, and orthopedic conditions such as a broken hip.

Community Resources: In addition to offering referrals and ensuring a safe home environment, they can also accompany you to doctors' appointments. They have extensive networking knowledge of resources available within the health care system, including insurance to assist you in navigating through the tools available to you. They make it easier for you to secure the services you need to assure you the best individualized care available. Care Managers advocate for their clients and become their agents of change. Their professional experience, knowledge and passion can help you or your loved one thrive.

Editor's Note: Submitted by Christina Curtis, LBSW, Care Manager at Piece-by-Piece Care Management, LLC. Christina may be reached at 469-631-5110 or www.piecebypiececaremanagement.com

Other Articles You May Like

Care Management - Nonprofit in Mobile, AL

When several people help an older adult, an important task can still fall through the cracks. One relative handles groceries, another schedules appointments, and a neighbor checks in. The family may have plenty of goodwill but no shared understanding of what support is needed or which services might be available.Care management can help organize those questions. For people exploring nonprofit care management in Mobile, AL, AgeSouth offers a route into public aging and disability resources, including program-specific case management. The first step is learning what assistance fits the persons needs and what requirements apply.What care management meansCare management generally involves identifying needs, planning support, coordinating services, and reviewing whether arrangements remain appropriate. Organizations use the term differently, so ask what a particular program provides and who will be responsible for follow-up.Public and nonprofit resource systems may offer screening, options counseling, or case management through specific programs. Those services should not be assumed to include continuous personal assistance, medical treatment, or an unrestricted private care manager for every caller.Recognize when coordination is the missing pieceA family may need coordination when tasks overlap, instructions are unclear, or support changes from week to week. Start by listing the responsibilities involved: meals, personal care, household needs, transportation, medicines, and communication with healthcare professionals.Mark which tasks are covered reliably and which are not. Include the older adults priorities and willingness to accept help. This gives a resource professional a clearer picture than a general statement that the family is overwhelmed. AgeSouths role in care coordinationPhone: 251-706-4680 AgeSouths official Medicaid waiver information describes the Elderly and Disabled Waiver as serving eligible older adults and people with disabilities at risk of nursing facility placement. Case managers develop person-centered plans based on medical needs. Depending on the plan, services may include personal care, homemaker assistance, respite, adult day health, companion services, or home-delivered frozen meals. The same page describes the Alabama Community Transition program for qualifying people leaving nursing facilities for home or community settings, and Personal Choices as a self-directed service option. Ask which program, if any, warrants screening for your situation. A service mentioned in a program description is not automatically available to every applicant.Clarify eligibility and the path to enrollmentAgeSouth states that its Medicaid waiver services require financial and medical eligibility and are provided at no cost to qualifying clients. [3] Request current requirements directly rather than applying a general income figure to your household.Ask who completes the assessment, what records are needed, and whether a physician or another professional must provide information. Confirm whether a referral, screening, or application has actually been initiated.Useful questions include:Which program are we discussing?What financial and medical criteria apply?Who completes each part of the review?What happens if the person is not eligible?Are approved services subject to availability or a waiting list?Establish who does whatIf the person enrolls in a program, ask how the plan identifies responsibilities. Clarify what the case manager coordinates, what a service provider delivers, and what remains the familys responsibility.Request instructions for reporting a missed visit, a change in needs, or a concern about the plan. Ask who handles questions outside ordinary office hours and which issues should go directly to the treating healthcare professional.Keep a current list of the organizations involved. Record the service, contact person, schedule, and method for reporting changes. This reduces the chance that family members assume someone else has made a necessary call.Build a plan around the persons dayCoordination works best when it reflects actual routines. Explain when assistance is most important and whether the person is alone during certain periods. Mention access issues, such as steps, pets, or instructions for entering the home.Include what the person can and wants to do independently. A support plan should describe where help is needed without overlooking abilities, preferences, and familiar ways of doing things.Review the arrangement when circumstances changeHospital care, a caregivers illness, or a change in mobility may affect the plan. Ask how reassessment works and what information the program needs when circumstances change.Avoid treating the original service schedule as permanent. Keep notes about uncovered needs and discuss them with the responsible professional. Ask what alternatives can be explored if a requested change is not available through the program.Why this matters locally in MobileFor Mobile households, a coordinated plan may need to fit relatives work schedules, travel across the county, and appointments at different offices. Identify who can respond locally if the usual caregiver cannot be there.Give AgeSouth the address where services would occur and explain transportation limitations. If the older adult is moving between a facility and home, describe the proposed destination and the help that will actually be present there.Weather disruptions can also affect schedules. Ask each organization how cancellations and changes are communicated, then create a family backup plan for tasks that cannot wait.How to get started1. List the older adults daily needs, preferences, and current sources of help.2. Call AgeSouth at 251-706-4680 and ask about screening for appropriate coordination or waiver services.3. Request current program requirements and the document checklist.4. Clarify whether your request is an inquiry, assessment, application, or enrollment.5. Review who will coordinate and deliver any approved support.6. Keep the plan and contact information current as circumstances change.Practical tip: Use a weekly calendar to show existing help and uncovered periods. Share it during planning so the discussion focuses on specific needs rather than a general request for more support. Related categoriesArea Agencies on Aging in MobileNon-Medical Home Care Adult Day Services

Medication Services in Senior Living: Support Options and What To Know

Are you wondering about the different medication services senior living has to offer? Medications become increasingly important as people age, given the higher likelihood of health problems. Seniors may end up with chronic conditions that require multiple medications and complex medication schedules. Taking the proper medication at the right time can be tricky, especially for seniors with poor memory or dementia symptoms. Fortunately, most senior living options provide different levels of medication services. What this looks like depends on state regulations and the type of senior living environment. In this article, we will explain the different types of medication services available and how they may vary depending on the level of senior care.Types of medication services in senior livingTo look at medication services, we first need to consder what the different terms. This is where things get complicated, as there is little consistency between the terms from state to state. Each state may use varying terminology for the levels of medication services. Were going to review the common terms for types of medication services here, so you can have an understanding of what to expect. If you need medication services at the senior living community youre interested in moving to or already live in, its important that you talk through the options with someone at that facility. Medication managementMedication management often refers to the overall system for organizing and managing residents' medications. It can include the areas discussed next, along with planning, storing, monitoring, reviewing, and organizing medications. Each community will have its own specific processes, some of which are more complex than others.Medication reminders Medication reminders are the simplest type of medication support found in senior living. This type of service could be as simple as verbal reminders for residents that its time to take their medication, or an alarm that plays a reminder when the resident should take medication. Because reminders dont involve direct contact with the medication, theyre generally considered a nonmedical service, and as such can be offered by staff without medical licenses. Senior living communities differ in what type of staff member can provide this reminder. The minimum rule is often set by the state in which the facility is located, so while one community might allow certain staff members to provide verbal reminders, another might notThis type of medication service may be offered as an add-on for an additional fee. Be sure to talk with a community representative about any costs that could be associated with medication reminders.Assistance with self-administrationThis type of service supports a resident who administers their own medications. Self-administering medication can be defined differently from one state to another, and usually involves the physical act of removing the medication from its container, handling it, and taking it by mouth (if an oral medication). Some residents can take their own medications but benefit from some degree of assistance from a staff member. Assistance steps can involve: - Bringing the medication container to the resident.- Opening the labeled container, removing medication, and placing it in the residents hand.- Applying any topical medication (e.g., cream).- Placing oral medication in a container and helping the resident lift it to their mouth.- Observing the resident taking medication.These are all common examples of what assisting in self-administration might include. The state in which your community is located might have slightly different definitions or include other actions that constitute assistance with self-administration.If youre interested in this type of service, youll want to talk with someone in the community about the specific procedures and the cost.Medication administrationMedication administration is the highest degree of medication assistance, and can include:- Any approach that requires judging medication dose, strength, or delivery method.- Medication that is provided as needed.- Medication provided through tubes.- Administering drops, inhalers, or suppositories.In the assistance category, staff help residents with their medication, while in administration, staff help with tasks that residents can no longer do themselves. This level of medication service is most likely to be an add-on cost for which residents pay extra, in addition to the monthly rent.Differences between statesThe distinctions between medication reminders, assistance, and administration sound logical and straightforward, yet theyre surprisingly complex in practice. Not only do states define these terms differently, but the tasks in each category differ as well. For example, medication administration is often as described in this article, but sometimes includes different additional tasks: For example, providing medication reminders in Iowa and reading labels aloud to residents in Maine.There is also variation in training requirements. Staff who administer medication typically need to be medically licensed, while those assisting with self-administration may only need to be trained. However, some states and facilities may require higher levels of training or even medical licensing for medication assistance.Levels of medication services by care typeNow lets take a look at how medication services can vary based on the care type you or a loved one lives in.Independent livingBy definition, people in independent living communities dont need much extra support. However, medication reminders are sometimes available as an optional add-on service that a resident might choose to have. Assisted livingAssisted living typically provides some degree of medication support. This can be as simple as medication reminders, but often includes assistance with self-administration as well. Skilled nursingSkilled nursing facilities have the staff required to provide full clinical administration, including medications that are provided as needed or where the medication dose is adjusted.These facilities are also subject to considerable oversight, so medication management systems are likely to be well developed, reducing the risk of errors. Memory careFinally, memory care provides tailored support for people with dementia.Medication management is vital here, as seniors with cognitive decline may not be able to understand their medications or take them effectively as their condition progresses. Medication support will often begin with reminders, then transition to assistance and finally to full administration. However, the exact processes will vary depending on the residents needs and where the memory care is provided. Why medication services matterMedication assistance can be crucial to making sure seniors take the right medications at the right times. This is highly significant because: - Seniors might be taking several different medications each day, which can quickly become confusing.- Missed doses, doubled doses, or taking incorrect medications can lead to serious health issues.- Memory issues or dementia symptoms reduce a persons ability to take medications independently.- Taking medications correctly and consistently promotes better health and reduces the risk of complications.Questions to ask a community about medication servicesVariations in regulations, procedures, and facility types mean that medication services can differ considerably from one facility to the next. As a result, its important to ask questions about the exact processes used. Here are some key questions to begin with:- Who handles medications, and how are they trained?- What is your system for ensuring medication safety?- How do you prevent medication errors?- How do you monitor for medication changes and side effects?- What are the processes in your medication support system? What tasks are residents responsible for, and which ones are staff members responsible for?- What happens if residents refuse their medications?Its also worth discussing your loved ones specific needs and situation, as this allows you to discuss potential challenges early on and find solutions.If medication management is a concern for your loved one, Oasis Senior Advisors Carrollton-Frisco can help you compare communities based on the level of support they provide and explain how medication services work in each setting. Contact your local advisor, Holly DeLisi, at (682) 375-9604 to find options that match your loved ones needs.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.

Must-Pack Items When Moving to Independent Living

Are you wondering about what you can and can't bring with you to independent living? Your move-in date is approaching, and you're excited to begin a new chapter in the independent living community you've carefully chosen. Between all the anticipation, you might also be feeling a bit overwhelmed with your growing to-do list. Packing and planning for a move is a stressful task at any age, but as you begin to downsize, you might be wondering what to include in your moving boxes and what to leave out. In this article, we will provide some helpful tips for what to bring when moving to your new home, as well as what to leave behind.Furniture to maximize your new spaceIndependent living apartments typically come unfurnished, which means that you can bring your style with you by choosing furniture that matches your aesthetic. However, your new home might be smaller than what you're used to, so thoughtful planning is key to maximizing your new space. You might find that your current furniture will do just fine, or that you want to pick out new items that better suit your new home. Just remember: - Measure everything. Bring a copy of your new home's floor plan, and measure existing furniture before moving.- Think multifunctional. Opt for pieces that offer storage, like a bed with drawers or an ottoman that opens.- The right shelving can make a small closet even more functional. Purchase easily installed shelving, or consider visiting a closet organization store. Remember to bring the dimensions of your new living space.- Prioritize safety. Avoid unstable shelving that could be a fall risk, like over-the-toilet shelving.- Be creative. You might not need a kitchen table in your new home, which could open up that space for a crafting desk or art space instead.Helpful tip: Before deciding what furniture to bring or buy, get a copy of your new home's floor plan. Measure the furniture and sketch it into the layout to make sure everything fits comfortably. This will help you to avoid overcrowding your space. Reach out to your community to request the floor plan for your specific apartment.Linens, towels, and rugsOnce your furniture is in place, cozy up your space with fresh, clean linens and soft textures. This can be especially important when you're moving to independent living and want to bring a sense of home with you.What to bring: - Two to three sets of high-quality sheets for your bed (look for a higher threat count for extra comfort).- A few sets of towels in your favorite colors.- A favorite blanket or quilt that reminds you of home.- Throw rugs to personalize your bedroom.- Area rugs to define spaces.Helpful tip: Rugs can enhance comfort and style, but may pose a trip hazard. Use rug tape or nonslip backings, especially in bathrooms and hallways, to keep rug edges flat and secure.Daily living essentialsIt can be easy to overlook the small, everyday items that make daily life comfortable and familiar. Having these essential items on hand will make your first few days after moving into independent living feel settled and stress-free.Don't forget to pack:- Chargers (for your phone, tablet, hearing aids, etc.).- Toiletries (toothbrush, lotion, shampoo, skin care items, etc.).- Everyday comfort items (slippers, robe, a favorite mug).- Snacks and drinks for moving day and your first week.- A personal digital assistant, like Alexa or Google Home, if you use it regularly.Helpful tip: Pack these items in a box labeled "OPEN FIRST". Include everything you'd want for your first night and morning - like coffee, medication, toothbrush, and pajamas - so you won't have to search through boxes.Personal comforts and hobbiesSome people may overlook this category in favor of just the essentials. While it's easy to only focus on the basics, personal touches can make your new space feel like home, especially during the early days after having first moved in.Items to being: - Photos of loved ones (framed or in albums).- Favorite books.- Craft of hobby supplies (such as knitting materials, puzzles, or art kits).- A small radio or speaker for music or audiobooks.- Keepsakes that fit in small display spaces, like a grandchild's drawing or travel souvenir.Helpful tip: Ask loved ones for something new to brighten your space, like a framed family photo collage to hang on move-in day.Art and decorationsUpdate your new home even more by adding pieces of art and other decorations that express who you are without cluttering the space.Here are some ideas for what to bring: - A few favorite pieces of art, like canvas prints, framed paintings, or handmade crafts.- Small, meaningful decorative objects like figurines, vases, or items from your travels.- A curated bin of holiday decorations that includes your favorite seasonal items or family heirlooms.- Indoor plants to brighten up the living space throughout the year.Helpful tip: Before hanging anything on the walls, check with your community about guidelines for nails, hooks, or adhesive strips. Many independent living apartments have specific rules to protect walls, and using the right hardware can help you decorate safely and stress-free.Important documents and safety itemsOrganization and peace of mind go hand in hand when moving to independent living. Be sure to pack your essential paperwork and safeguard your valuables.What to bring: - Photo ID, insurance cards, and medical documents.- Power of attorney and advance directive paperwork.- A list of emergency contacts.- A small, fireproof safe for your passport, legal documents, and small valuables.Helpful tip: Make copies of your important documents and share them wth a trusted family member before your move.Clothing that suits your lifestyleYour daily routine may shift in independent living, bringing with it more casual social events and community activities close to home. Comfortable, versatile clothing will help you feel more confident and prepared for whatever might come with each day.Pack a wardrobe that includes: - Comfortable everyday clothes for lounging, walking, and dining.- A few dressy outfits for community events or special occasions.- Comfortable shoes with nonslip soles.- Season essentials, like a raincoat, winter coats, sweaters, and scarves.Helpful tip: Use under-bed storage bins or hanging organizers to maximize your closest space if it's smaller than you're used to.Nonessentials to leave behind when moving into independent livingMoving into an independent living community means you'll soon have access to a wide variety of amenities and services designed to make life more convenient. This all-inclusive lifestyle means that you can leave behind certain items. You may choose to either donate them, give them to a family member, or sell them.Here are a few things you can leave behind as you start packing: - Too many kitchen supplies. You'll likely have access to meals in either a dining room or a restaurant-style setting. Bring only what you'll use, such as a coffeemaker, a few plates and cups, one or two pots or small appliances (like a microwave), and basic utensils. Leave behind items for larger meals and duplicates of everyday tools. With the smaller space, think about downsizing the number of place settings if you want to invite guests. Consider also that, if the community doesnt offer full meal services, you have the option of eating out with other residents.- Cleaning supplies. While you'll want to tidy up, you won't necessarily need all the cleaning supplies, thanks to regular housekeeping visits to your apartment. Leave behind a large vacuum cleaner, and instead opt to bring a smaller one. Similar, keep a small bin of cleaning essentials, but leave behind extras. Your housekeeping staff will be happy to take care of the serious cleaning now.- Excess furniture. Moving in a smaller space means being selective. Avoid cluttering your new home with oversized or impractical items. Donate or sell larger items, like large china cabinets or hutches, big sectional sofas, and large dining tables.Helpful tip: Not sure if you should bring an item? Contact your new community. They can provide a list of what's included, as well as guidance on what current residents typically bring with them.Making your move into independent living a smooth transitionMoving to an independent living community is a significant transition that brings with it both change and opportunity. With thoughtful planning and support, the process of downsizing and packing can feel more manageable.Focus on bringing items that add comfort, function, and meaning to your new space. Leave behind what no longer serves you, and trust that your new home will offer the amenities and support to simplify daily life. If you find you need something that you decided not to pack, you can always purchase it. Take your time, ask for help when you need it, and allow yourself space to settle in at your own pace.If you have any more questions about what you can bring with you to independent living, Oasis Senior Advisors Carrollton-Frisco can help you. Contact your local advisor, Holly DeLisi, at (682) 375-9604 for assistance.The rules and requirements of senior care facilities vary based on company policies and state regulations. The contents of this article represent common guidelines, but may differ from a particular facility's policies or requirements. Oasis can help you learn about the regulations in your state.