Services may include but are not limited to:
Initial Evaluations
- Thorough review of client’s preferences and needs in the home or institution
- Work with your familys current health care, legal and/or financial professionals or provide referral, as needed, to public and private services/agencies and professionals
- Evaluation of social supports and of the psychological, medical, social, financial, and environmental status of the older person
- Consideration of options available to meet needs and preferences of the older person and the family, and cost benefit analysis of those options
- Advocacy to make services responsive to patient needs
- Recommendations regarding specific services includ, as necessary, selection of institutions best suited to the needs of the client
- Completion of assessments and paperwork required for institutional admissions
- Medical evaluation or on-going medical care in an office or in the home may be arranged as appropriate
- Evaluation of use of entitlements including Medicare and Medicaid
- Written evaluations may be sent, which include a summary of findings along with recommendations for addressing preferences and needs of the client and family
- Assistance will be provided as requested in implementing recommendations
- We typically see the older person in his or her familiar setting for an initial evaluation
Consultations
- If families request single sessions to address specific issues, such sessions are held at locations convenient to all parties
On-going Monitoring
- Follow up is done as requested by the client/family
- Frequency of contacts depends upon assessment of need consistent with patient’s wishes, with sufficient frequency to monitor changes in status and respond to those changes with appropriate services
- Periodic written reports evaluate progress and include additional suggestions to meet the client’s [changing] needs
- When in-home services have been arranged, we represent the client to the provider to insure that the needs of the client are taken care of