isolation, depression, anxiety, or other health issues?
Solutions is a comprehensive geriatric care
management service, founded by Sondra Teer Robertson, RN. of Wilmington.
For the past twenty years she has nursed and provided specialized care
management to many chronically and terminally ill patients in our community.
In 1999, she was accredited in Parrish Nursing by the Medical University
of South Carolina. Mrs. Roberston has served on numberous Boards in the
local community, along them the New Hanover Regional Medical Center's
Board of Trustees and the Lower Cape Fear Hospice.
Caring for and
nurturing others has been the guiding principle of her personal life and
profes- sional career.
Solutions is com- mitted to maximizing the independence and autonomy
of frail elders while striving to ensure that the highest quality and
most cost-effective health and human services are used when and where
Advocare Solutions and its ancillary team of practitioners
have a common goal in the advancement of gentle and dignified care for
the elderly and their families.
advocacy, counseling and the delivery of concrete services, Advocare
Solutions assists older persons and their families to cope with
challenges of aging.
There are times in all of our lives when we or those we love suddenly
find ourselves facing life changing events or a diagnosis that will alter
our daily lives, whether for a short time or longer. Knowing where to
turn for help can often bring a sense of confidence and peace, whether
it be for information on available resources or simply having someone
to help us organize the new services needed.
CARE MANAGEMENT AND THE PROFESSIONAL RESOURCE MANAGER
Q: What exactly is Home Care Management?
A: Home Care Management is a combination of long term care planning, protection,
prevention, preservation, and chronic care services. These services are
delivered over time and are affordable to most home care clients and their
Q: What is the role of a Care Manager?
A: Our goal as a Care Manager is most often to help you – the physicians,
the attorneys, the financial managers and strategists – achieve
your goals of maintaining your client’s health and independence,
while preserving their assets and their opportunity to choose.
Q: How do Financial and Legal Professionals fit into the picture?
A: To garner the resources for Home Care Management, clients need the
help of a care-planning specialist who can interpret a client’s
care needs for his or her resource manager (financial and/or legal), and
then orchestrate a CARE PLAN in collaboration with the Home Care Team.
With the right resources in place, the chronic care services that secure
a client’s well being at home are often affordable.
A family member of a chronically ill or disabled individual may need help
understanding how legal documents, correctly written by a specialized
“elder-law” or disability attorney, can help them achieve
and retain their independence, or how a Financial Planner could advise
their loved ones of the most beneficial use of their assets. Many have
family members who can be brought into the process of interpreting how
better management of all resources can enhance and assure their care options.
This includes home care service management, budgeting, financial planning,
estate planning, and insurance analysis.
Q: What is “chronic care?”
A: Unfortunately, the term “medical necessity” is at the heart
of our insurance-subsidized, outcome-measured, cost-contained, treatment-efficient
health care system. This system was not designed to treat illnesses that
do not go away. Medical necessity justifies medical treatment. But when
treatment and the need for acute care ends, where does the client turn
for long-term care and stability for “chronic” conditions?
Chronic illness requires chronic care. Chronic care is the strategic use
of personal, family, and community resources to prevent long-term institutional
placement among the chronically ill.
Q: Who’s in charge?
A: It is the Care Manager’s job to coordinate the efforts of the
family, friends, community and other professional advisors to facilitate
the team approach to Long Term Care planning by serving as interpreter
among all of the team’s elements.
Q: What’s the Long Term Care plan?
A: The plan is three-fold:
1. The Assessment- A thorough plotting of the client’s condition,
long-term care resources, income and assets, insurance, and family care
are but a few.
2. The Care Plan- A detailed description of the options available to the
family and other team members. This will include daily personal care assistance,
accessibility modifications, homemaking issues, companionship, and supervision.
3. Care Management- The actual implementation of the Care Plan,
with ongoing reassessment.
THE VALUE OF A CARE MANAGER IS FOUND IN
WHAT DOESN’T HAPPEN
AS A RESULT OF THEIR SERVICES.