Care Coordination By Your Medical Team
As our loved ones get older, their health and conditions can become more complex. Quality of care requires development and implementation of individualized, coordinated plans of care. It becomes clear that these care plans need to be assessed and implemented. Patients often require further evaluation, treatment, follow up appointments, referrals and patient or caregiver education. Typically, a team of geriatrics healthcare providers –- which may include physicians, geriatrics nurses, pharmacists, psychiatrists, therapists, specialists and social workers work together. Coordination among this team is generally managed by the hospital or facility. Family members with no experience in this field may feel powerless, overwhelmed and stressed. Additionally, acting on behalf of a loved one to provide the best quality of care is important. Although hospitals and facilities have the patients best interests in mind, they can not provide the individualized care that complex cases require. This is where a Geriatric Care Manager's specialty is critical. Not only can a Geriatric Care Manager act as the families advocate in meetings, but also see the patient on a more frequent basis to understand the patients unique needs. Lastly implementing the care plan is difficult. Chronic conditions, multiple medications and on-going therapy are just a few of the tasks that require attention. Not only can a Geriatric Care Manager can communicate with the geriatric care providers, but also help the family each step of the way.
The communication and continuous effort to implement the geriatric assessment and care plan has a significant impact on the health of the patient.