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People are living longer but not necessarily healthier. The prevalence of multiple chronic conditions, such as Alzheimer’s disease and other dementias, causes a noticeable reduction in the ability to self-mange or perform everyday tasks, dramatically affecting a person’s quality of life. Families are left to cope with a relative’s growing dependency in the midst of their own busy lives. This situation results in an increased need for professional care management and a clinically appropriate way to manage complex care at home.
Statistics show that 40% of Medicare beneficiaries have three or more medical conditions simultaneously, while 20% have five or more conditions, which accounts for over two-thirds of all Medicare’s spending. Many people need, and prefer, clinical support beyond the limited traditional home care Medicare provides. SeniorBridge’s clinical approach, using an Integrated Care Model ensures that individuals receive appropriate, continuous, medically coordinated care.
- Comprehensive Care Plan
- Geriatric Care Managers who are nurses or social workers develop a customized care plan for each client
- Assessment of the clients needs include medical, functional, psychological, social and financial issues.
- Holistic plan for wellness
- Coordination of Services
- Medical care
- Physician care
- Medication management
- Disease management and monitoring
- Social support services
- Continuous Care at Home
- In-home care-giving
- Specially trained caregivers
- Home safety plan
- Family collaboration and support
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“Alzheimer’s is a gradually progressive disease and people’s needs are very different at each stage. One of the reasons that I’ve been interested in SeniorBridge as a model is because I think they provide the best way to keep people at home as long as possible and are able to provide services to meet the needs at each stage of the diseases.”
Dr. Peter Rabins, MD, MPH
Co-author of The 36-Hour Day
Director of Geriatrics Psychiatry Program
John Hopkins School of Medicine
Baltimore, MD
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