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Elder Support Flowchart


Initial Consultation

A complimentary one-hour meeting with the older adult's family or responsible party to discuss their concerns, the older adult's condition, and to preview our services.

In-Home Assessment

An interview with the older adult with family members or responsible parties present to assess the situation. During this meeting a gerontologist will interview the older adult, use several psychosocial and environmental measurement tools to determine their physical, mental condition, and will tour and assess their home environment. All inquiries and tests are performed with emphasis on the older adult's pride and dignity. Input from or consultation with the older adult's primary care physician is highly recommended.

Assessment and Care Plan Report

After the in-home interview, a team of gerontologists will analyze the outcomes of the measurement tools and the information provided. A confidential report that includes all results with recommendations for a plan of care is provided.

Implementation Meeting

The assessment and care plan report, along with the primary physician's input, is reviewed, and discussed with the family or responsible party. A plan for caregiving support, home modification, nutrition enhancement, medication management, medical supervision, and, if recommended, a change in living arrangement is provided. Important terminology and service options are also provided. The family or responsible party may choose to implement the services themselves or Elder Support Services will implement and organize the services for them.

Ongoing Monitoring

Elder Support Services provides ongoing monitoring with personal visits and telephone calls to the older adult to ensure that the support systems are providing the level of care that meets their needs. The frequency of personal visits and telephone calls are scheduled based on the level of service requested. Service providers are automatically contacted in the event changes in services are required. The family or responsible party receives a monthly summary showing visits, telephone calls, and all actions taken.

Reassessment

A reassessment is performed when there is a change in the older adult's status. A meeting is held with the family or responsible party to determine if modifications are needed in care arrangements.

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