The Power of Order: Organizing Strategies for Aging Well

Supporting Independence and Aging with Dignity: Understanding Care Management and Advocacy Services for Older AdultsAs the population ages, more families are finding themselves navigating the complex and often overwhelming world of elder care. From managing chronic health conditions to arranging safe housing and transportation, supporting an older adult through the aging process requires careful planning, clear information, and access to the right resources.One model that has become increasingly important in this landscape is care management, a service designed to bridge the gaps between families, healthcare providers, and community support systems. Organizations like Solutions for Independence, based in Western Pennsylvania, offer insight into how this model worksand why it matters. What Is Senior Care Management?Senior care management is a professional service that helps older adults and their families coordinate care and make informed decisions. Often led by certified care managers or aging life care professionals, these services typically include: Assessing the individuals physical, cognitive, and emotional needs Coordinating medical care and follow-ups Identifying appropriate community resources Providing support to family caregivers Assisting with transitions from hospital to home or residential care Care management can be particularly useful in complex situationssuch as when a loved one has multiple medical conditions, lives alone, or doesnt have family nearby. Its not about taking over decision-making; rather, its about providing clarity, expertise, and personalized planning. The Value of Advocacy in Elder CareAnother critical area in the aging process is advocacyespecially when it comes to navigating healthcare systems and long-term planning. Advocacy services focus on ensuring that older adults receive care that aligns with their values, preferences, and rights.Advocates often step in to: Communicate with doctors and insurance providers Help seniors and families understand legal tools like Power of Attorney Navigate public benefits such as Medicaid, Medicare, or Veterans programs Mediate family disagreements around care While medical professionals often concentrate on diagnoses and treatment, advocates take a broader viewone that includes quality of life, dignity, and autonomy. Aging in Place: A Growing PriorityAccording to AARP, nearly 90% of older adults say they want to age in place. But doing so safely and comfortably requires planningand sometimes, professional input.Services like home safety assessments can make a meaningful difference. These evaluations often identify risks such as poor lighting, slippery floors, or lack of grab bars. Recommendations may include home modifications, adaptive equipment, or the introduction of in-home care services.Some care management organizations partner directly with home health providers, physical therapists, and contractors to implement these changes. By focusing on prevention, they help reduce the risk of falls and hospitalizationstwo of the most common and costly events in older adults lives. Empowering Family CaregiversFamily caregivers are often the unsung heroes of elder carebut they can also experience burnout, decision fatigue, and emotional strain. Thats why more families are turning to services that support and coach caregivers through these challenges.Common areas of support include: Education on chronic illnesses like dementia or Parkinsons Respite care coordination Assistance with managing medical records and appointments Help during crises, such as hospitalizations or care facility transfers In these situations, a care manager or eldercare consultant can act as a neutral guide, helping families navigate tough conversations and make informed choices without the burden falling on one person. Planning for the Financial Side of CareSenior care can be expensive, and understanding available financial support options is crucial. Benefits counseling is one lesser-known but incredibly valuable service offered by many eldercare professionals.This may involve: Identifying eligibility for Medicaid waiver programs Applying for the VA Aid & Attendance pension Reviewing long-term care insurance policies Estimating out-of-pocket care expenses Advising on estate planning tools, often in partnership with legal professionals Even families with means can benefit from this guidance, especially when trying to preserve assets while ensuring quality care. A Collaborative Model for Aging WellUltimately, organizations that provide care management and advocacy serviceslike Solutions for Independencerepresent a collaborative model for aging. They don't replace the role of family or healthcare providers but instead act as coordinators, educators, and facilitators, working across disciplines to support seniors in maintaining autonomy and quality of life.Whether you're helping a parent recover after surgery, navigating a new dementia diagnosis, or simply planning for the future, knowing these services exist can make a tremendous difference. Aging well isn't just about good medical careit's also about having the right guidance, support, and plans in place. Care management and advocacy services are essential tools in this process, helping families make confident, informed decisions during what can be a challenging and emotional time. If you're starting to think about elder care for a loved oneor even for yourselfconsider learning more about care management and how it might fit into your plan. The more proactive you are, the more options youll have to ensure safety, independence, and peace of mind.

By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareTwo recent studies highlight how sepsis impact often extends well beyond the acute event that led to a patients hospitalization. The studies emphasize two particular points that should inform physicians and clinicians as they consider referring these patients to specialized care: Medicare patient data gathered between 2012-2017 shows that sepsis patients face considerably poorer health outcomes following hospital discharge when compared to non-sepsis patients, including elevated risk for death and increased use of advanced healthcare services. Sepsis survivors exhibit strong indicators of persistent inflammation and immunosuppression for up to a year after hospital discharge, increasing their risk of readmission or death. Both studies indicate a significantly elevated risk of death among sepsis patients after they have been discharged and ostensibly cured. Of course, sepsis patientsparticularly those of the Medicare cohort, who are largely of advanced agerarely leave the hospital in better condition than they entered.The Yende study, in particular, shows that neuroendocrine and inflammatory responses to sepsis can continue long after the patient survives a septic episode. For patients with advanced or chronic diseasesas was the case with nearly 78% of participants in the studythese biomarkers are associated with decline.Post-sepsis Discharge: A Critical JunctureIn many cases, these individuals life expectancies upon discharge will be less than six months. This is a critical juncture: While comfort-focused hospice care could provide an ideal source of support for the eligible patient, their family, and their caregiver(s), most sepsis patients are simply sent home without even a discussion about palliative end-of-life care and its benefits.Frankly, such an oversight is a disservice to everyone involved. The sepsis patient is left with physical and/or cognitive dysfunction, often without significant options for symptom management. Their partner or family will either need to assume caregiving duties or turn to costly private services. And the physician and hospital staff will likely see the patient again following another acute event, a readmission that impacts performance scores, strains resources, and unnecessarily fills beds.By no means do I intend to lay the blame for these unfortunate circumstances on physicians. Timely hospice referrals require ongoing education about end-of-life care, and open, ongoing communication between hospice providers and referral sources.More Help: How to Talk About Hospice Care >Those of us in hospice are working hard to bridge the gap, but even as our healthcare system transitions to a value-based model, the mentality of fee-for-service still permeates our nations acute-care facilities, and many hospitalists see a discharge home as a success.Hospice: A New Way Of Judging SuccessIn hospice, we judge our successes on the patients quality of life and the fulfillment of their goals and wishes near lifes end. Usually, that means going home with 24/7 support from an interdisciplinary hospice team. Whether home is a traditional residence, an assisted living facility, or nursing home, the hospice team will assist caregivers (and/or facility staff) with direct clinical care and education, integrative services, bereavement support, and delivery of medication, equipment, and supplies.In other cases, improving quality of life means remaining in a general inpatient setting with hospice support, taking the burden off hospital staff until the patient is able to transition home or until the patient dies. Hospice offers complex modalities in any setting, so patients who would otherwise be confined to an ICU can usually return home to be among loved ones.With support from hospice, a sepsis patient and their family are more likely to report higher satisfaction of care and greater quality of life. The patients emotional and spiritual needs can be met alongside their physical needs, thanks to care from chaplains, social workers, music and massage therapists, and other integrative specialists. Finally, the patient is more likely to die at home, surrounded by loved ones, rather than in the hospital.Because sepsis is most common in patients with advanced or chronic diseases that indicate hospice eligibility, acute incidences of sepsis should always trigger a hospice eligibility assessment. We owe it to our patients, their loved ones, and our colleagues in healthcare, all of whom can benefit from the support that timely end-of-life care offers. 

Caring for a loved one can be one of the most rewarding experiences, but it also comes with its challenges. Family caregivers often wear multiple hats, juggling work, family, and caregiving responsibilities. Knowing where to turn for help can make all the difference in managing the stress and ensuring your loved one receives the best possible care. Here are some essential resources every family caregiver should be aware of:Local Area Agencies on Aging (AAAs)AAAs provide a wealth of information and services tailored to seniors and their caregivers. From meal delivery and transportation to caregiver training and respite care programs, these agencies are a critical first step for many caregivers. You can find your local AAA through the Eldercare Locator.Support GroupsCaregiving can feel isolating, but youre not alone. Support groupsboth in-person and onlineconnect you with others who understand your journey. Platforms like Family Caregiver Alliance or local support groups can offer emotional support, practical tips, and a sense of community.Respite Care ServicesTaking care of yourself is vital to being an effective caregiver. Respite care offers short-term relief by providing professional caregiving services, either at home or in a care facility. Check with local senior care providers, such as our team at Elderlink Home Care, Inc., to learn more about these options.Financial Assistance ProgramsThe costs of caregiving can add up quickly. Programs like Medicaid Waivers, Veterans Aid and Attendance benefits, and local state assistance programs can provide financial relief. Additionally, many states offer stipends or tax credits for family caregivers.Technology Tools for CaregivingModern technology has made caregiving more manageable. Apps like CaringBridge and CareZone help you organize medical records, schedules, and communication with other family members. Medication reminder tools and wearable devices can also provide peace of mind.Caregiver Education and TrainingBecoming a caregiver often requires learning new skills. Organizations like the Alzheimers Association and AARP offer online courses, workshops, and guides to help you handle medical tasks, improve communication, and navigate the complexities of caregiving.Professional Home Care ServicesSometimes, partnering with a professional caregiver can provide the support you need. Home care services like those offered by Elderlink Home Care, Inc. allow your loved one to remain in the comfort of their home while receiving expert assistance with daily activities, personal care, and companionship.Legal and Financial Planning ResourcesHaving the proper legal and financial documents in place is crucial. Organizations like Legal Aid and National Academy of Elder Law Attorneys (NAELA) can guide you in preparing essential documents, such as powers of attorney and advanced directives, ensuring your loved ones wishes are honored.Caregiver Counseling ServicesThe emotional toll of caregiving is real. Many mental health professionals specialize in helping caregivers navigate stress, grief, and burnout. Look for local therapists or online counseling services to prioritize your mental health.Meals on Wheels and Nutrition ServicesEnsuring your loved one eats well is a top priority. Programs like Meals on Wheels provide healthy, affordable meals delivered right to their door. Many community centers and churches also offer meal services for seniors.Final ThoughtsBeing a family caregiver is no small task, but you dont have to go it alone. By tapping into these resources, you can find the support you need to provide the best care possible for your loved one while maintaining your own well-being.At Elderlink Home Care, Inc., were here to help. Whether you need professional caregiving services or advice on navigating the complexities of senior care, feel free to contact us for guidance and support.Remember: Taking care of yourself is just as important as taking care of your loved one. Dont hesitate to reach out for helpits a sign of strength, not weakness!Question, please call us at 303-734-0641.