Geriatric Care Management

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Video: Susan explains what she does as a Geriatric Care Manager
Get a Gerontologist's view on how a Geriatric Care Manager can assist in your family's most important decisions.

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Video: Vulnerable To Elder Abuse

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Episode#003 – Professor Rose talks about how some female neighbors have manipulated his stepfather into parting with assets and how he fell victim to a late night television land sales scheme.

For the complete Mike Rose Series, click here.

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Video: Did In Home Care Work Out?

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Episode #002 – In-home care is a great solution for those who want to age in place.  Professor Rose’s stepfather did not want to go to an assisted living facility.

For the complete Mike Rose Series, click here.

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Video: Why Call A Geriatric Care Manager

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Episode #001 – Professor Rose, relays the struggle he had with balancing work and the obligation he felt to care for his step father.

For the complete Mike Rose Series, click here.

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To Drive Or Not To Drive, That Is The Question?!

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“Vitnesses schmitnesses, I saw you blinking at those boys you shlut.” This is what an elderly woman said to me after her 90 year old husband backed into my car despite my intense honking efforts in the Junior’s Delicatessen parking lot.

The “boys” were actually young men who were simply giving me their cards as witnesses for my insurance company because the woman’s elderly husband kept asking me why I hit him.

If you ask the person from whom you are taking the keys “to drive or not to drive” the answer is almost always a resounding yes. This is especially true if the driver is a man, once strong, macho and in charge of himself and the world.

Continue reading To Drive Or Not To Drive, That Is The Question?!

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Not Taking Your MEDS…Can Be Expensive!

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Raise your hand if you think that you should buy a worthless piece of property for $50,000 off an infomercial. Well if you are 85 years old, live alone and forget to take critical medication than the answer is, I guess.

That is precisely what a client’s father did this year. That was just a couple of days before he went into the hospital because of severe dehydration. Thereafter, he ended up in a nursing home to rehabilitate for three weeks.

When he got home and learned of his shopping spree, he was outraged and in complete denial. There was just no way that this fiscally responsible man would have done that.

Ahhh, those pesky IADLs (Instrumental Activities of Daily Living)—medication management, what a drag. This gentleman is on seven medications all of which have to be taken at different times throughout the day.

How could this have been avoided? Continue reading Not Taking Your MEDS…Can Be Expensive!

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When The Call Comes From The Elder….

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The other day something unusual happened. I received a call from an 88 year old woman who needed my advice about her daughter in law’s pushy (for lack of a better word) behavior.

Fearing that she would be institutionalized against her will, she wanted to know what her rights were. When I got to the woman’s house, she and her middle aged care-giver, greeted me with a warm smile and a welcoming gesture.

As she spoke of her daughter barging in, her eyes began to tear. The daughter, the wife of a son who passed away in his twenties, had begun a campaign to rid the home of the caretaker and the cat that the caretaker brought in and to place my client into some form of assisted living.

The daughter had even gone to a doctor’s visit where she made not so subtle illusions to the house being in a state of filth and disarray and run over by pets.

Concerned, the doctor had a social worker come to the home. The social worker reported that the house and living conditions were in perfect order.

Later that day, the grandson barged into the home and removed the cat that my client had come to love, insisting that my client had allergies and that she simply forgot about them.

My client was afraid that she would be snatched and institutionalized when she went to put her garbage out. Was this a paranoid delusion? Was the care giver up to no good?

Or, was this a case of elder abuse?

My findings were that my client’s mental capacity was very much in tact. Furthermore, she was very happy with her caretaker and wanted a pet. I spoke with my client’s doctor who agreed.

To this day, I do not know what her daughter in law’s motive was. Although she was in the will, placement of my client into an institutionalized setting would deplete her inheritance. My suggestion was two fold.

First, I could have the family participate in a family mediation to have everybody’s concerns aired and my client could assert her right to independence and autonomy, she could make her 80 year old sister a proxy under a durable power of attorney for health care or she could voluntarily submit to a conservatorship over herself. Short of that, she could get a restraining order.

That seemed a bit extreme. When I followed up with her she told me that she suggested to her daughter in law a cooling off time. They will meet in a couple of weeks to smooth things over with or without my mediation.

Empowered by two professionals assessment that she is not incompetent, I suspect that my client will now be in a position to assert her boundaries that she created over 88 years on this planet.

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