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Care Management to Weather a Downturn

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Care Management to Weather a Downturn

by Rona S. Bartelstone, LCSW, BCD, CMC, C-ASWCM


At the end of the day, no matter how concerned we are about money, health comes first. The current economic crisis affects everyone in some way. Families with aging relatives find themselves distracted by their own problems, such as the declining value of homes and investments, concerns about reduction in retirement plans, and even loss of jobs. While the professional legal and financial communities are working to discover how to help people through these trying times, we at SeniorBridge can help each other and our clients by practicing preventive health care, opening our eyes to unpleasant realities, and planning for, rather than waiting for, health care crises that become costly to individuals, companies, and society. The tenets of care management and life care planning can be very instructive in these times. Adults need to think in terms of their own aging and put a financial plan in place to address their possible needs for long-term custodial care. The elderly and their families need to think in terms of tools, or safety nets, to prevent avoidable health care crises, which lead to physical decline and disability.

The following are some ideas that eldercare professionals recommend to prepare for and minimize the effects of financial and health crises:

Survival Tips for All Seasons:

  1. Make sure that you and everyone you care for have advance directives that allow someone trustworthy to make health care decisions and handle money. Guardianship proceedings, especially if contested, are extremely costly.
  2. Have, and recommend to anyone you care about, a thorough home environment assessment. Accidents, falls, and other incidents can lead to hospitalizations, long-term disability, or worse. This adds costs to the individual and drains the Medicare coffers that are already very depleted.
  3. Make sure you and/or your loved one understands medications and is taking them appropriately. Medication errors can cause problems and even be life-threatening.
  4. Invest in a personal response device; having someone come to your aid quickly is not only critical to your well-being, but can save the cost of necessary rehabilitation from injury.
  5. Even though community services and government programs will become more limited, learn about what is available, take advantage, or get help in accessing services.
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