Transition Care Management

You know that things have changed for a parent, spouse, or loved one.

Actually, life itself has changed, after many years of flowing along relatively smoothly.

It feels like just yesterday, that was the old life, not so bad for them, not so stressful for you.  Today they are facing the reality of a new life.  Whether it’s a gradual cognitive change or a sudden change in medical status due to a fall or acute medical issue, larger questions loom.  You need support to find the strength to answer these difficult questions.

Can they continue to live safely in their own home? What support systems can I put in place to help them?

My father’s cognitive decline is creating enormous anxiety for my mother, what can I do to alleviate her stress? (or vice versa)

What is the long term game plan to stay together and get the best care when one spouse declines much faster than the other?

I am dealing with mental health issues that are much more complex. Are there good adult and geriatric psych resources in South Florida that can assist?

A pathway for navigating life changes.

You want help.

But sometimes these questions feel so large, so overwhelming, it’s really hard to know where to begin.

Changes happen naturally as we age.  Transition is the internal process that we use to deal with these changes.  Life Transition Care Management provides support for this process.  It starts with a comprehensive assessment by a Professional Geriatric Care Manager.   Transition Care Management is about empowering seniors to stay safe at home as long as possible and making informed life transition decisions – when and where to move – on their own terms.  Our work will be focused on addressing the issues identified during our initial discussions with the family and the initial assessment meeting with the client.

Sometimes our work is focused on creating a game plan to live life in your own home as safely and independently as possible.  Other times other options should at least be considered, such as a lifestyle transition to assisted living. And sometimes the solution seems clear but you can’t see how to make it happen given limited financial resources.

You need a care plan that is synchronized with a financial plan. You need to maximize the benefits of Medicare, Medicaid, or Veterans benefits, so that limited discretionary savings can be used effectively. You need to bring together the right medical, financial, and legal resources to make all of this happen. You need a Life Transition Care Manager.