Geriatric care management


Geriatric care management is the process of planning and coordinating care of the elderly and others with physical and/or mental impairments to meet their long term care needs, improve their quality of life, and maintain their independence for as long as possible. It entails working with persons of old age and their families in managing, rendering and referring various types of health and social care services. Geriatric care managers accomplish this by combining a working knowledge of health and psychology, human development, family dynamics, public and private resources as well as funding sources, while advocating for their clients throughout the continuum of care. For example, they may assist families of older adults and others with chronic needs such as those suffering from Alzheimer's disease or other dementia.

Overview

Geriatric care management integrates health care and psychological care with other needed services such as: housing, home care services, nutritional services, assistance with activities of daily living, socialization programs, as well as financial and legal planning. A care plan tailored for specific circumstances is prepared after a comprehensive assessment has taken place, and is continuously monitored and modified as needed. A comprehensive geriatric care assessment is thorough and can take anywhere from two to five hours in length, this of course is broken down into two or three assessment visits with the patient/family members. The comprehensive assessment is really a compilation of smaller individual assessments with the first one being a primary intake assessment which includes demographic type data as well as a health history, social history, and legal/financial history. From there, a medication profile assessment is included, as well as an assessment of ADLs and IADLs. In addition other assessments may include; Falls risk assessment, Home safety assessment, Nutritional assessment, Depression assessment, Pain assessment, Mini Mental State Exam, MiniCog Clock Drawing Exam, Balance assessment, and Gait assessment. If the comprehensive geriatric care management assessment is being conducted by a Registered Nurse, then a physical assessment can be included such as vitals signs recording temperature, pulse, respirations, blood pressure, oxygen saturation, and sometimes FBS or RBS checks for diabetics. In addition, physical assessments in areas such as cardiopulmonary, gastrointestinal, musculoskeletal, genitourinary, eyes/ears/nose/throat, integumentary, lower extremities inspection, as well as a modified neuro assessment and medication compliance assessment.

Geriatric care managers

Geriatric care managers typically have prior training in nursing, social work, gerontology or other health service areas. They are expected to have extensive knowledge about the costs, quality, and availability of services in their communities. In some countries and jurisdictions, they may obtain certification from various professional associations, such as the National Association of Professional Geriatric Care Managers in the United States.
Professional care managers help individuals, families and other caregivers adjust and cope with the challenges of aging or disability by:
Depending on the country and health care organization, professional fees for the services of geriatric care managers may be billed privately on a fee-for-service basis. In the United States, they are not covered by Medicaid, Medicare nor by most private health insurance policies. However, clients may be able to bill some services to long term care insurance, depending on the history of the individual case.