San Diego GAIN Members
What can a Care Manager Do?
A care manager is trained to handle many aspects of caring for older adults while providing support to family members. Case managers design individualized care plans that fit the abilities and resources of clients.
Care management services coordinate the personal and medical needs of each client with physician and psychiatric services, fiduciaries, attorneys, physical and exercise therapy, professional caregiver agencies, pharmacies, home health, hospice care and other needed resources who specialize in senior care.
Regular nursing assessments, medication management, advocacy, family communication and a team communication all help to alleviate stress and provide the best care life has to offer.
When to Call:
- When family members live out of town and more local support is needed
- After a major health crisis such as a fall or progressive medical diagnosis
- Anytime friends and family care givers feel overwhelmed and exhausted
- When a loved one is no longer thriving in the current environment
What can I Expect From Home Care?
Home Care Organizations in California are licensed through the state and provide qualified caregivers to help Seniors stay safely at home.
Home care is non-medical and supports daily activities like meal preparation, light housekeeping, transportation, personal care, and companionship in a person’s home.
Caregivers may work with a client a few hours each week or 24 hours each day. Home care is flexible and schedules are determined by the needs of each individual client. Home Care paid privately, by Long Term Care Insurance or by authorized VA benefits.
When to Call:
- When a loved one has experienced a health event or change in condition
- Following surgery or a medical procedure
- When respite support or additional care is needed for hospice and dementia patients
- When a senior experiences rapid weight loss, depression, social isolation, or changes in personality
- For 1-on-1 bedside support during hospitalizations or skilled nursing admissions
- During a time of driving restriction both temporary and permanent
- Anytime there is difficulty keeping up with daily living tasks: bathing, dressing, walking, toileting, maintaining the house, medication reminders, driving, meal preparation
- When there is a fall risk or safety concern
- Any time family members live out of the area or are planning vacations
Home Health Care - Medical Services
What Services do Medical Home Health Services Provide?
Home health care provides a wide range of health care services delivered at home for treatment of an illness or injury.
Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF).
Services are covered by Medicare and other insurance providers. These services are ordered by a physician and usually last 4-8 weeks.
Skilled home health services include:
- Wound care for pressure sores or a surgical wound
- Patient and caregiver education
- Intravenous or nutrition therapy
- Monitoring serious illness and unstable health status
- Physical, occupational or speech therapy
When to Call:
- When you or a loved one are struggling with pain and other limitations in the course of daily living and wish to regain your independence
- When your doctor is requesting that your treatment of illness or injury be continued after discharge from the hospital or skilled nursing facility
- When you want to gain coordination assistance with your care such as regular communication on your behalf with your doctor and anyone else who gives you care.
What is Hospice and How Can Hospice Services Help?
Hospice is a special concept of care designed to provide comfort and supportive care to patients and their families when a life-limiting illness no longer responds to curative treatment.
It focuses on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible.
Care is delivered in a variety of settings including a patient’s home, assisted living facility, nursing home and certain hospital settings. Coverage is provided by Medicare, Medicaid, and by most private insurance providers.
When to Call:
- When a person has frequent hospitalizations and would prefer not to continue using the hospital system
- When there is a rapid decline in health, frequent infections, reduced desire to eat, or inability to perform activities of daily living
- When a decision to focus on comfort care rather than aggressive medical treatment
- When there is terminal Illness
What You Should Know About Medical Supplies/DME?
Durable Medical Equipment (DME) refers to all medical equipment and supplies that a client may use in their home to improve their safety and independence. Medical equipment such as wheelchairs, walkers, and grab bars can add to a person’s ability to perform ADLs and remain as mobile as possible.
It is important to work with a professional to select your medical equipment, as there are sizes and style choices that should be chosen based upon the person’s need and specifications.
When to Call:
- Upon discharge from the hospital or skilled nursing when patient is going home with new mobility challenges.
- When patient reports difficulty in performing their ADL’s.
- When an older adult is living independently but does not have grab bars in the shower or hand rails on steps
- When client demonstrates muscle and balance decline by doing things such as “wall or furniture walking”, holding onto caregivers arm to walk, or requiring to hold onto a shopping cart to walk in the store
Senior Living Placement
How do Senior Advisors Help?
A senior living advisor works with you and your family to help match you with the senior living options that suit your needs and preferences.
Our personal one-on-one approach allows us to advise seniors and their families with compassion and informed data based on lifestyle, location, finances, health conditions, and more.
When to Call:
- When caregiving at home becomes too much to handle
- When safety of the individual is hard to maintain due to either the physical environment or progression of a health condition
- When the cost of care at home becomes more than is sustainable
How Can In Home Physical Therapy Help?
A licensed physical therapist is trained to assess strength and balance and implement a plan to address such deficits. With 6+ years of post-high school education of how the body functions and how diseases and injury affect that function, a physical therapist finds a path for each client to move better with less pain.
Physical therapy helps improve quality of life and makes participating in normal activities of daily living easier for patients and family. Physical therapists address deficits in mobility, balance, strength, pain, home safety, dizziness, and coordination. Physical therapy can be utilized to address home set up and provide caregiver training. Falling in the home is significantly reduced when a physical therapist is part of the care team. We work together to achieve individual and family goals.
When to Call:
- When you aren’t moving as well as you want to move
- If you are experiencing pain related to muscles, bones, joints, ligaments, nerves, or posture
- When you have fallen recently or feel like you could fall soon
- If you have dizziness that becomes worse with movement or head position
- You want to ensure that your living environment is safe
- You prefer individual attention in the home instead of going to a busy outpatient clinic
- You want medical equipment recommendations to optimize movement and safety for you and those who care for you
- You haven’t met your goals with physical therapists previously or feel limited by insurance limits
- You are getting wounds or sores and don’t know how to prevent recurrence
- You need training for caregivers who are assisting you to walk, move, or transfer
- You want a yearly or periodic screen for strength, flexibility, posture, and balance to find out how you compare to others about your same age