Serving the Whole Person

In today’s world, there is an emphasis to figure out what’s wrong with a person rather than focusing on who they are. There is a large difference. Knowing who a person truly is一physically, spiritually, emotionally and financially, and understanding his or her support system, is critical when serving others.

 As a licensed clinical  social worker and certified care manager with over 25 years of experience serving older adults, I have learned that in order to provide quality, comprehensive, and compassionate care, it is critical to be familiar with a wide variety of community-based services and available public benefits, and have proven and trusted partners, such as Transitions Care. 

As a care manager, I provide a range of services to support individuals and families as they navigate care, including assessment and monitoring, planning and problem-solving, education, advocacy, family caregiver coaching, and crisis intervention. All of these services provided are done to advocate for and assist my clients, and the people who love them, understand them and make informed decisions about the many aspects of their care needs. 

A few signs that care navigation support may be needed:

1. Family members are confused about care options, what to do next or where to get help.
2. A family member was recently diagnosed with cancer, Alzheimer’s disease or other chronic condition.
3. A loved one is ill or has a disability and family lives out of town.
4. A loved one experiences a catastrophic event, such as a fall, medication mistake or accident.
5. Family members have discovered a loved one wandering, malnourished, dehydrated or unable to provide self care.
6. A loved one suffers a medical event, such as a stroke or heart attack.
7. The loved one and/or family is expressing worries about paying for long-term care in the future.
8. Loved ones are voicing concerns about a parent’s debilitating diagnosis.
9. A loved one is hospitalized, and the family has been told that returning home is not an option.
10. Hints of driving problems….an anecdote or complaint about the “rude woman” who yelled at them as they were driving by, the street signs are printed too small, getting lost, etc.