What Is Geriatric Care Management?

Geriatric Care Management is a comprehensive, strategic series of steps, taken by a professional care manager to help solve problems and challenges of older clients and their families.  You may hear the abbreviated term "GCM" also, which is either a nurse, social worker, or other health care professional that is directly hired by the client or their caregiver to deliver highly individualized services increasing the client's quality of life.

  These services include:

  • Comprehensive Assessment

  • Monitoring for Clinical Changes

  • Home Safety Assessment

  • Development and Initiation of Plan of Care

  • Provide all necessary resources

  • Coordination of services

  • Medication Management

  • Accompany to Physician and Health Care Visits

  • Liaison for family and physicians

  • Ongoing caregiver support and education

  • Relocation services

  • Hospital Discharge Planning

  • Transition Management

  • Crisis Intervention/Management

Are you feeling overwhelmed with a loved one's changing physical and emotional needs?

Is it becoming more difficult to manage the challenges of aging your loved one is experiencing?

Are you a long distance caregiver trying to manage an aging parent's  health, personal, and financial matters?

Professional Nurse Partners are professional nurse care managers who are experts in the field of senior care.  Through careful assessment, care planning, identification of appropriate resources and knowledge of senior care issues, we are able to meet the needs of our clients and their families, promoting good health and quality of life.

Benefits Of Care Management

Initiating care management saves money and reduces family burden by coordinating appropriate care and resources while avoiding unnecessary expenditures.  One of our goals is to avoid crisis, unnecessary hospitalizations, and inappropriate placements.  This is accomplished through fostering a trusting relationship by working together as a team while preserving respect and dignity.

Process Of Care Management

We will set a time to come to the client's home to complete a comprehensive assessment of the client's physical, emotional and psychosocial status.  At this time, your Nurse Care Manager willalso assess the home for safety. Following the visit, the Care Manager will develop a plan of care that identifies the client's needs and then share it with both the client and family or primary caregiver. Once the client and family review the plan of care, we begin working as a team to implement the approved plan.  Of course, this plan is flexible, as we understand the changing needs of this population.

Did You Know?

Depression is not a normal part of aging. 

However, unexpected changes are common including decline in health, loss of roles, loss of independence and loss of friends and relatives.

As part of our comprehensive assessment, we will utilize standard screening tools to identify any depressive symptoms your loved one may be experiencing.  These Depression Scales are not diagnostic, however, following evaluation of abnormal scores, your Nurse Care Manager will communicate with the family the need for further follow up with the client's physician.

How To Determine When Mom Or Dad Is Ready For A Care Manager

  • Increased forgetfulness and confusion

  • Seemingly more frail and weak

  • Multiple falls or signs of falling

  • No longer able to manage finances

  • Medication errors or forgetting to take prescribed medications

  • Signs of uncontrolled diabetes

  • Unable to manage household chores

  • Spoiled food or lack of food in refrigerator

  • Unintentional weight loss or weight gain

  • Chronic or acute medical conditions  

  • Frequent hospitalizations

  • Withdrawn or changes in behavior  

  • Changes in sleep patterns

  • Traffic violations or accidents


Where Can I learn More About Geriatric Care Management?

For more information about Professional Geriatric Care Management, please visit the Aging Life Care Associations Website at: www.aginglifecare.org

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