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Appendix F

Finding a Geriatric Care Manager

One way to avoid long-term care placement is to retain the services of a geriatric care manager. If you do so, your loved one might be able to avoid nursing home placement.

What is a Geratric Care Manager?

The geriatric care manager (GCM) is a private practitioner in a relatively new area of practice. GCMs contract independently with families to provide medical oversight for elderly community-dwelling seniors. This service is particularly helpful for adult children who live hours away from loved ones. A GCM is a professional who specializes in assisting older people and their families in meeting their in-home health care and long-term arrangements. GCMs are trained in gerontology, social work, nursing, and/or counseling. Some of the things a geriatric care manager may do include:

Acting as a contact person for family members who live at a distance and providing information, support, alerts to problems and reassurance.
 
Conducting care-planning assessments to identify problems.
 
Determining eligibility for assistance and need for services
 
Screening, arranging, and monitoring in-home health care or other services
 
Taking responsibility for financial, legal, or medical issues
 
Arranging or offering referrals to geriatric specialists to avoid future problems
 

Taking charge in case of emergencies

 
Helping an elderly person find a retirement complex, assisted living, adult foster care home, or nursing home
 
Assisting an elderly person with moving from her home to a facility
 
Advocating for the elderly with physicians, hospitals, caregivers, and governmental agencies
 
Providing counseling and support.

Some geriatric care managers also provide therapy (family or individual), money management, and guardianships or conservatorships. GCMs have extensive knowledge about services for the elderly in their community -- availability, cost and quality.

What are the Benefits of Having a Geriatric Cafe Manager?

One of the benefits of having a geriatric care manager is the flexibility of services that may be offered. A contract between a family member and a GCM will be tailored to the specific needs of your family. A GCM can be particularly helpful when you're the leader who coordinates care for an elderly loved one who lives far from your home. Other benefits of having a GCM include:

Short-term or ongoing assistance. This is important for caregivers who live far away.

Services that are individualized. GCMs can offer services that are client-centered and tailored to meet the client's specific wants and needs.

Flexible scheduling. Many GCMs are available after hours and on weekends.

Continuity of care management. GCMs can be the point man, making decisions to reduce miscommunications and to minimize time, stress, and cost to clients.

Avoidance of medical emergencies. GCMs can monitor your loved one's medical, physical, and psychological health consistently and can help prevent costly crises and unnecessary hospitalizations.

Reduction of nursing home care. GCMs can help your loved one to avoid inappropriate and costly institutional care and overuse of services.

To find a geriatric care manager in your loved one's geographical locality, use the search engine at the website of the National Association of Professional Geriatric Care Managers at www.caremanager.org or www.findacaremanager.org.

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Taking Charge: Good Medical Care for the Elderly & How to Get It. A Caregiver's Manual in How to Detect, Manage, and Prevent Six Common, Fatal Conditions in the Elderly Patient | Home |Table of Contents | Delirium | Medication Errors | Adverse Drug Reactions | Falls | Dehydration | Protein-Energy Malnutrition | How to Avoid Problems Caused by Under-Staffing in Nursing Homes | How to Handle End-of-Life Decision-Making | Appendices |   Disclaimer

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