Aging Life Care™ Managers are key collaborators on the team. We assist with adherence and provide at-home support to promote adherence, address family tensions, and reduce 30-day readmission.
Refer a patient when
- a health care POA is needed. Or, separately, a power of attorney. If you have patients who have compromised capacity and do not have family members who can step in, we can help.
- advance care directives are not yet in place. Perhaps the patient still has capacity for health care decisions now, but lacks paperwork and needs help getting documents in order.
- medication management is an issue. Especially if the patient is struggling with mental health issues or memory problems, our trained staff can implement strategies to improve adherence and help patients (and families) adjust to new regimens.
- multiple comorbidities or polypharmacy make for a complex medical situation. We can be your eyes and ears by monitoring at home on a regular basis and catching a problem before it results in an emergency room visit.
- dementia is a concern. By attending appointments with your cognitively impaired patients, we can ensure that you hear about the top-priority symptoms and that treatment recommendations are understood and implemented by caregivers in the home setting.
- you have concerns about discharge. Some home situations are not fully prepared to handle the increased needs of a recently discharged family member. Relatives may live far away. A spouse may have his or her own health challenges. A patient may be resistive. We can assess the situation and put safeguards in place to safely ease the transition.
- family members frequently call for updates. We save you time by communicating with the network of relatives, especially when family members live far away.
Let’s talk! [Your Phone Number]