Ruth is employed full time and has two children at home, one who is high school-aged and one who has just started college. She lives several states away from her mother, Betty, and has spent the last few months flying back and forth to stay on top of her mother’s increasing needs. Betty has had several minor falls in her home as well as some ongoing medical issues requiring frequent doctors’ visits.
Since her father died last year, Ruth has worried for Betty’s safety at home—her dad had always doted on and helped her mother around the house. Ruth also worries about balancing care for her mother with meeting her job requirements and being available to her daughters. She has already missed several days of work due to Betty’s needs.
ConciergeCare met with Ruth and Betty at Betty’s home. We found that Betty was also recognizing that her medical situation was worsening and was fearful that one more fall could be the “bad one” that changed everything for her.
ConciergeCare Services Provided:
Assessing the whole picture for this family revealed a number of ways in which ConciergeCare could help Ruth and Betty manage the changes in Betty’s life. We put in place the following, with Ruth’s and Betty’s approval:
- Our RN created an Integrated Health Record for Betty that is kept updated with all changes in medications or treatment; Ruth also has electronic access to it so that she can refer to it when talking long-distance with Betty’s care providers. The IHR process gave Ruth and Betty clarity about Betty’s health problems and how they could be better managed. ConciergeCare faxes updates from the IHR to Betty’s doctors before each of her appointments, so the doctor has accurate information about what has transpired since Betty was last seen at his or her office.
- After discovering deficits in appropriate legal documents and financial planning, we connected Betty and Ruth to an elder law attorney and a financial planner, who assisted them with power of attorney documents and gave them a true picture of Betty’s assets—an area that was always handled by Ruth’s father.
- The ConciergeCare Plan we presented to Ruth and Betty included the option of Betty staying in her own home with renovations for safety, private home care, meal delivery, and outside transportation. But after visiting several assisted living communities we recommended based on Betty’s needs and the financial plan established for her, Betty decided she would feel safer and less isolated socially by moving into her favorite of those.
- ConciergeCare then connected Betty and Ruth to an excellent realtor, an estate sale company, and a senior move manager so that her transition to assisted living was smooth and didn’t require Ruth to take a leave of absence from her job. The senior move specialist ensured that Betty’s favorite belongings were saved and well-organized in her new space, which was of great importance to Betty as she “down-sized.”
- The ConciergeCare RN continues to visit Betty monthly to check on any needs and changes. She attends certain of Betty’s doctor appointments with her when problems arise and extra communication is needed. She interfaces with the assisted living nursing staff to make sure Betty’s medication changes are always correct and that other medical needs are consistently met.
Ruth is now able to visit when she has vacation time from work—not having to leave abruptly for emergencies. She keeps in close communication with ConciergeCare using a secure on-line platform, where she is able to receive updates. Betty is thriving socially in her new community—successfully beginning a phase of life that seemed overwhelming initially with the loss of her husband.