Assessment – An assessment of the client is completed in their present environment. The assessment will include:
Care Plan – The Geriatric Care Manager will complete a care plan upon review of the Assessment. This will indicate the client’s strengths and weaknesses. The care plan will focus on the recommended interventions and goals for the client to improve and maintain their quality of life. Follow-up care – Weekly, bi-weekly or monthly monitoring of the client to insure all interventions and services are being adhered to by all involved in the client’s care. Review of services – The services recommended for the client will be reviewed during the monitoring of the individual. Adjustments are made when needed, and services can be added or deleted as appropriate.
Search for alternative placement – If the client is unable to remain in their home alone, the Geriatric Care Manager will arrange for placement in the appropriate facility.
Long Distance Planning Assistance
Crisis intervention – In times of crisis the Geriatric Care Manager is trained to provide assistance in these types of situations. Advocacy
Availability during regular office hours (9-5 EST daily)
Accompaniment and transportation to doctor’s (and other necessary) appointments when other arranged services are not available
Intervention with medical providers, including discharge planning and hospital visitation
Family Consultation – (Meet with other family members) Education – The Geriatric Care Manager is trained and educated in diversified areas dealing with the elderly population.