How we do it
Pinpoint the client's unmet needs
Through an initial meeting and discussion of your care needs, we will develop a written needs assessment report with our professional recommendations:
We will review primary areas of need including your past and current functional status, medical history, general legal and financial status, emotional supports, social history and religious preferences and your stated goals. We'll incorporate cognitive, functional and psychological assessments where appropriate and pertinent to you.
Collaborate on developing a Plan of Care
We will schedule a review of the written report with recommendations with you and your loved ones. From there we will discuss our recommendations and collaborate with you on determining priorities and establishing a plan of care. By incorporating your financial status, your functional status and your priorities we'll have a baseline plan to build off as you go through life's transitions.
Coordinate & monitor client's condition
If you choose to use our care management services, we'll manage the details for you and attend appointments as you or your loved one's advocate. We'll follow up with your medical team, delegate tasks to skilled professionals where necessary and hold them accountable to always consider your best interest. In collaboration with your professional team, we will implement your plan of care by simplifying the details, actively solving problems as they develop and proactively planning for future obstacles.
Keep care team connected and updated
On an ongoing basis we can send regular updates to your authorized family and loved ones, facilitate ongoing communication among your medical team and maintain documentation and record of changes in care. We provide family education where needed and aim to empower you to reach your care goals and follow your stated wishes. By providing a back up plan, with regular check ins and updates we can proactively address and update your team to meet challenges head on and facilitate excellent quality of care.
a•bridge: Aging Life Care Management applies the eight knowledge areas to their expertise:
Health & Disability