By Pamela D Wilson CSA, CG, MS, BS/BA
Care providers and care communities frequently serve individuals who have no family or no responsible person involved in their care. This represents a troubling situation if the individual is experiencing difficulties in making daily decisions or in executing care recommendations. What solutions exist for individuals who have no family or for whom family is at a distance and is unable to be involved? Do care providers have an ethical responsibility to make recommendations to individual and families for resources to provide support? How do care providers whose services are perceived by individuals and patients to be FREE (reimbursed by health insurance) recommend beneficial services like care management that must be paid for privately?
Health insurance paid for by employers has given consumers the illusion that healthcare is relatively free. Escalating costs over the years resulted in the passage of the Affordable Care Act, which many are finding to be un-affordable because of health care premiums and high deductibles.
Has society been lulled into a sense that healthcare should be free? Has healthcare supported solutions by way of pills in a bottle versus solutions by way of a change in personal lifestyle and habits? What happens when the health of an individual negatively affects the ability to perform daily functions necessary to remain independent?
Instrumental activities of daily living like cooking, driving an automobile, using a telephone or computer, shopping, managing finances and managing medications are often the first troubling indications than an older adult may benefit from assistance. Difficulties with performing activities of daily living including bathing, continence, dressing, eating, toileting and transferring become more difficult when health issues occur.
Medicaid is often the payer source for older adults with significant health issues who lack an ability to pay for care. For older adults not qualifying for Medicaid, medical and health services are reimbursed by Medicare and private insurance. For individuals who wish to remain independent and who are unable to manage aspects of daily care, the services of care navigation or care management offers solutions.
Services to support IADL and ADL activities fall under the categories of:
- Care navigation or care management
- In home care services
- Community services: meals on wheels etc.
- Care communities: independent, assisted, memory care and skilled nursing
- Caregiving support websites like The Caring Generation
For individuals who have no family and who may have difficulty managing service providers or in making decisions about what care services to access, The Care Navigator is able to help. Since 2000 The Care Navigator has a documented history of success resulting in satisfied clients and positive outcomes.
The Care Navigator provides:
- Expert solutions, support and education for individuals and caregivers overwhelmed by unexpected care situations
- Advocacy to support higher standards of care including care oversight, management, communication and coordination with care teams
- Assessment, identification and recommendations of costs and alternatives to support short and long-term care planning
- Ongoing oversight of daily care and household needs to provide peace of mind for individuals and family locally or at a distance
- Identification and support for transitions from home to communities of care
- We serve as court appointed guardian, power of attorney and personal representative.
Whatever the need, the services of The Care Navigator will support your Needs. If your need is a service we do not offer, we will put you in contact with a professional who will be able to assist.
© 2014 Pamela D. Wilson, All Rights Reserved.