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Care Management

First, we listen to your wants, needs and desires before assessing your elderly or disabled family member. 

The initial assessment provides a starting point for measuring progress and becomes critical for navigating the often complicated healthcare system. Once a plan is developed and implemented, we will periodically reassess your family member to make sure they are getting the best possible care on an ongoing basis.

​Caregivers of elderly or disabled persons need the peace-of-mind of knowing that they have provided the best possible opportunities for their loved ones to live the best possible quality of life. The older adult is looking for the greatest degree of comfort, safety and independence. Your family is important to you so we work hard to earn your trust by working together on shared goals. How do we do this?

 

​ASSESSMENT : DEVELOPMENT : IMPLEMENTATION : REASSESSMENT

ASSESSMENT

The family may choose to begin services by conducting an individualized comprehensive assessment to identify problems, eligibility for assistance and the need for services.  Clients have stated “The treatment plan alone is an invaluable tool and the continued services are heaven sent”! In the initial meeting with the elderly or disabled person and/or the caregiver, there is a discussion of the current situation focusing on the needs and concerns of the family and elderly person.  Strengths, limitations and ability to function independently are discussed.  This written assessment is given to the caregiver or family and can accompany the client to medical appointments and other care providers, so that the care team has a baseline of information from which to work.


Some of the areas covered in the assessment are:

   

    Functional analysis and review of competency in activities of daily living
    Evaluation of how the individual spends his or her day and the quality of life
    Psychological, mental, and social functioning
    Strengths and needs
    Psychosocial history
    Medical record review
    Consultation with other family members and medical practitioners as needed
    Financial resources
    An action plan with written recommendations

DEVELOPMENT

At Better Days Provider, we approach the development of the care plan with the utmost practical and realistic judgment, and sensitivity. It is a complex process that all care team members should be aware. It is a tool that embraces the uniqueness of the individual client’s needs and preferences.

 

The care plan maps out the next steps.  The goal is to preserve and protect the independence and dignity of older or disabled persons by providing the most personalized client centered services to maintain the best quality of life possible.

We assist caregivers in obtaining information needed for the best decisions in acquiring optimal resources and services. Based on this, the plan will provide recommendations for the most effective and comprehensive services required for your loved one to remain safe and healthy.

 

Based on the information obtained in the initial assessment, the care plan can include plans for support at home or exploration of care facilities, adaptive equipment needs, safe driving reviews, referrals to psychiatrists and cognitive specialists if cognitive deficits are noticed.

Education and emotional support for the client and the family are incorporated into the plan as well as socialization and community support services.

 

Areas examined in the care plan development process include the following:

   

    Assessment of clients’ needs
    Problem identification
    Comprehensiveness of the care plan, including problem and goal statements.
    Time table of services
    Review of objectivity and all participants
    Approval process
    Family and client participation
    Family and client satisfaction

IMPLEMENTATION

The demands of everyday life become overwhelming when a senior family member becomes ill, confused or in need of services.

The goal in the implementation of the care plan is to maximize client independence and choice while using the least intensive and least intrusive but most cost effective interventions.

Information and education are important components of the care plan process. At BetterDays, you find relief from the stress involved in care giving.  Once the plan is developed, the care coordinator together with the  will provide you with specific instructions about how to maximize and access needed health and social services.

 

Care plan implementation involves many care management activities through which the care plan is put into effect. These activities may include providing information about available services, as well as educating clients and family members about how to access services or perform specific care activities themselves. It may also entail active involvement of a person or persons, such as clients, family members, or case managers, in arranging for or maintaining specific services.

By monitoring the care plan continuously, we help the family stay involved at whatever level is appropriate for each family.  Our client is not only the older or disabled person but all of the formal and informal supports available to the individual. We then review the status of clients, their needs, and the services currently in place to address those needs. When we do this, we can measure and evaluate progress toward goals identified in the plan of care, assess whether provider services are being implemented in accordance with the care plan, and determine whether problems in the service delivery may require changes to the care plan.

REASSESSMENT

Despite the routines of daily life, changes are inevitable.  In this stage of the care management process we work hard at anticipating changes in the person and adapting the plan accordingly.

Ongoing services can be scheduled at intervals that work for the individual and their family members to keep things running smoothly.  You are in the driver’s seat and Better Days Provider is your guide.

 

Hiring a Better Days Provider is like having a relative not just in the in-homecare business but in life as well. So you are not only getting the best professional guidance; our services also get to the core of the person and of the family system to help all involved live the best quality of life.

 

We ask the right questions, can access the best services, and provide the right amount of education and advocacy. 

With our guidance, you can then make smart decisions about what is best for your loved one.