At ElderCare Advocates our services are uniquely tailored to meet the needs of each
and every individual client. Our "plan
of care" is customized specifically to suit the needs of your family
member, with the notion that "one size does not fit all" at least
as it relates to people. Therefore, at ElderCare Advocates we'll first
ask you to meet with us in person, if possible, preferably without the
presence of your parents, at least initially, so that you'll have ample
opportunity, as well as the time you need, to voice
your concerns. Perhaps you're thinking that you have way too many concerns
to address? Well then,
come with a legal pad full of questions, bring your spouse or siblings
if you so wish, take all the time you need, and we'll try to address as many of the issues as
we can; financial, legal, medical, and social. Many of our clients
have reported to us that after having participated in one of our
thorough "consultations" they have felt sufficiently empowered to
advocate for their loved ones, for the time being, without using any of
the other services which we provide. Other clients, however, because
everyone's circumstances are different, ask us to follow-up our
consultation with an "assessment" at the home of their parent(s); adult children, are welcome to participate if they so choose, but need not
necessarily take time-off from their busy schedules to
attend. We assure you that we have done this umpteen times, without
children present, and have never been asked to leave, or "shown the
door". Remember, we are professionals; we love what we do, feel very
comfortable with the elderly, and we don't carry the emotional baggage that tends to
get in the way and interfere with children
and/or their parents from speaking freely. In fact, we have found that the
elderly are frequently more up-front and frank with us than they are
with their children, regardless of how good their relationship may be;
additionally, they will often listen to our suggestions much faster than
they will to those offered by their children. So don't feel badly, it's not you
or anything that you're doing, it's just the way these things are. Some
issues, we have discovered, are just simply too difficult in many
cases to discuss with children, even if that particular child happens to
be a physician, attorney, or
even a psychologist.
How many adult children feel at ease when discussing money, sex, loss of
dying with their parents; certainly no one that we know. At ElderCare
Advocates we can help you bridge this ubiquitous and nearly universal divide,
develop a plan of care that resonates with your parents' wishes and at
the same time is in sync with your concerns as well. Ultimately, your goals
as well as those of ElderCare Advocates are mutual in that we both want
for your loved ones to feel that their needs and are being adequately
met, their hopes sustained, as well as for you to get a decent night's sleep.
your loved one is recuperating in a hospital, nursing home, or
rehabilitation center, and you are planning for them to return home, we
can assist you in advocating with the staff, expeditiously providing a
safe and secure discharge plan, and hiring as well as monitoring home health aides and
companions. If your spouse or parent is already a long-term resident
of a skilled nursing facility or assisted living facility and you have
concerns regarding their quality of care, we can be your "eyes and ears" by monitoring the
ongoing services being provided for them, and advocating for their quality of
Our services can easily be
tailored for use by a wide variety of professionals whose time is very
limited, including: hospital discharge
planners, social workers, guardians, elderlawyers, attorneys, physicians,
estate planners, financial planners, insurance companies, and trust
officers. Our services are never intended to take your clients
away from you; instead, to work hand-in-hand with you, under your
guidance, freeing up some of your valuable time, and impressing your
clients with your efficiency.
OUR SERVICES INCLUDE:
(2 - 3 hours) In our office or via telephone, our consultation is
conducted directly with or on behalf of the client and/or contact person.
It involves discussion of issues and problems, as well as concerns
for the future, exploring options, and verbal recommendations.
- (2 - 4 hours in client's home)
Our comprehensive assessment, which takes
place in the home of our elderly client, is conducted with the client and/or
caregiver. It involves an
extensive evaluation of the client’s physical, emotional, and
psychosocial condition, as well as consideration of any necessary
environmental modifications. Our
assessment is followed by a detailed report with recommendations for the
In-Home Care - We will arrange to have a
Health Aide (HHA) or Personal Care Attendant (PCA) come into the home of our client. We will contact, interview, and monitor the individual to ensure
that our client is safe and satisfied.
visits are made to the
home to ensure the safety of our client and to note any
changes in our client’s behavior or state of mind.
Lifeline Linkage -
services for the provision of personal safety with the touch of a button,
offering peace of mind to our client and their caregiver.
and Referrals with Professionals -
will refer our client to the appropriate professionals, i.e. geriatric
physicians, geriatric psychiatrists, and elder lawyers. We can
arrange appointments and discuss findings in laymen's terms. We will
advocate with these professionals on our client's behalf in order to
represent them and promote their care.
of the Environment - We ascertain that the
home of our client is safe by recommending changes necessary to "elderize"
the home, e.g. grab bars, lighting, etc. in order to enable the elder to
successfully "age in place" and provide for their independent
and Benefits - Advising our clients
and assisting them in navigating the Medicare/Medicaid system, and
establishing contact with appropriate community and governmental services.
Placement - Helping the family
choose the most appropriate residential placement, including Senior
Living Facilities (ALF), Skilled Nursing Facilities (SNF), and Continuing
Care Retirement Communities (CCRC).
intervention and a support network for caregivers that are experiencing an
emergency or crisis situation. Objective guidance and advice to
avert incorrect or inappropriate decisions.
and Psychotherapy - Emotional support and empathic
listening to relieve the stressors associated with caring for demented,
frail, or chronically ill parents. Our goal is to prevent
"caregiver burnout". We also specialize in geriatric
counseling, allowing for parents to confide personal issues that are
difficult to discuss with children.
Mediation - ElderCare
Advocates will act as a liaison, mediator, and neutral third party with
family members in conflict. Family sessions can be arranged to allow
for discussion "of the issues" in a conciliatory atmosphere in
an attempt to arrive at a consensus on what is best for the aging parent.
Screening - We will arrange for the
"Patient Review Instrument" (PRI) which is legally required for placement in a
New York State skilled
nursing facility and is required in many Assisted Living Facilities.
and Check Writing -
A monthly service provided for the elder who requires
assistance with bill paying and check writing. We can assist you with
financial planning to meet short and long- term needs.
Appraisals and Evaluation -
We provide expert estate appraisals as well as appraisals
and evaluations of diamonds,
precious stones, jewelry, and antiques. This service is provided for
attorneys, bank trust officers, certified public accountants, guardians, and families.
Services- We will supervise and guide
packing up and moving of the elder's possessions to ensure safe transport
of personal property to a new destination. This service is
especially helpful for children living at a distance or who are unable to
take time off from their professional and personal responsibilities.
Upon request, we will assist in distributing any properties to appropriate
charities, or in obtaining bids for the sale of valuable items and
dealing with our aging parents we tend frequently not to notice, and even
to deny, the telltale signs that signal the possible onset of a serious medical
psychological crisis, including such crises as: dementia, delirium, non-compliance with medication,
depression, and social isolation. Children who see their parents frequently are prone to overlooking
some of the signs mentioned below, sheerly from habituation; while children who see their
parents less frequently might observe frightening changes from one
distant visit to the next. It is imperative to differentiate
between "normal aging" and the signs and symptoms requiring immediate
professional intervention. The importance of early detection, and
prompt intervention can not be overstated.
with medication regimen
Weight loss or
numbness, nausea, loss of vision, slurred speech
Incontinence of urine or
Change in eating patterns
Change in sleeping patterns
Cessation of normal
activities or hobbies
Refusal to leave home or meet
Sudden gifting and distribution of
Depression, and/or suicidal ideation
behaviors; dress, or sexual
Decline in personal hygiene
Forgetting to turn off the kitchen
particularly towards evening
physical/verbal abuse, delusions, paranoia,
Calling children repeatedly at inappropriate hours of day or night
Difficulty with money
management; unpaid bills, inability to balance checkbook, etc.
The above warning signs should be taken seriously and not ignored; seek
professional help immediately.