A Resource for Families and the Elderly

Contributed by: Margaret Matheis, Ph.D., Geriatric Care Manager

Older adults are the fastest growing portion of North Carolina’s population - projected to number 14.1% of the populace by 2010. North Carolina currently ranks tenth nationally in its number of elderly citizens. Although modern medicine has prolonged life expectancy, the cost of living longer has greatly increased. Job mobility of the baby boomers coupled with their parents retiring to warmer climates often leaves the elderly with no local family support. Even those caregivers in the same town may find themselves overwhelmed by the multiple demands of a young family and an elder relative.

Typical concerns the elderly and their families grapple with include:

  • Is Mom or Dad safe in the home and how long can they remain independent?
  • How can we be certain that our parent is using medication properly, managing finances, and not depressed?
  • How do we decide if/when assisted living, nursing home, or home care is appropriate and which facility to select?

Elders fear the loss of independence and control. Meanwhile, their adult children wrestle with multiple demands, conflicts, and possible guilt while trying to persuade their parent to take the best course of action. Where can a family turn for assistance in coping with the problems of later life?

Geriatric care management is available to help provide optimal care for the elderly. It allows family members to retain their roles as daughters and sons while elderly individuals maintain their dignity. Care management maximizes independence and strives to ensure that the highest quality and most cost effective resources are selected. The advancement of dignified care is promoted. Long and short term needs are planned for and addressed proactively to prevent crises.

What can be expected during the process?

  • comprehensive assessment of the elder’s needs and living situation
  • location and monitoring of services such as medical care, housing, home care services, socialization programs, financial and legal planning
  • help for the elder in adjusting to the additional assistance and changes that aging may bring
  • support of family members

Care management services can be extensive or limited. One family may require an assessment and limited help with securing services. Another may need continual help due to the complexity and fast changing needs of the elder. Whatever the situation, clients are assisted in navigating the health care and social systems to their best advantage. Geriatric care management addresses the social and emotional needs of older adults in order to meet the elder’s unique goals with respect and care.

Margaret Matheis, Ph.D., Geriatric Care Manager is available to assist and guide you through the challenges aging may present. Dr. Matheis may be reached at (919) 644-7308. Visit her website at www.eldercare-solutions.com.

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