EXPERIENCED GUIDANCE DURING TRANSITIONS IN AGING

EXAMPLE SCENARIO:

• I have fallen a few times this past year and now my family thinks it’s unsafe for me to live at home.  Do you think I need to move to a nursing home

     You may be able to stay in your own home and live independently. 

• TRIBUTE Elder Care Consulting can evaluate your care needs  and help develop a care plan to ensure you are safe in your home. We will listen to your specific needs and help develop a plan that best fits your situation.
• If a move is recommended by your healthcare team, there may be other options available to you instead of a nursing home.  
• TRIBUTE ECC can help facilitate discussion between you and your family to ensure that you feel supported in your decision to transition with confidence. Our goal is to ensure your safety while remaining as independent as possible.

As trained professionals and local care resource experts, we are there to  help you review options and solutions during transitions in aging and during crisis situations.

- We can discuss topics and complex issues such as care for end of life

- Address emotional concerns

- Coordinate and manage medical services, care services

- Help make short and long-term care plans 

- Make home visits and suggest needed services

- Evaluate alternative living arrangements and suggest a suitable setting

- Link client to local community services

OUR CARE MANAGEMENT SERVICE can begin at home or hospital.

• Planning for care : It is never too early to plan for the 'WHAT IF'S.' We can help you and your family review the POLST directive after medical consultation, review and update established  care plan  to include specific wishes.
• Discharge planning during hospitalization or post-hospital rehab, the social services personnel will inform you and your family regarding the potential length of stay, provide updates,  and potential recommendations from the healthcare team.  The team may recommend the following:

                  - continuing Care Coordination to support client with additional care 

                     services to remain safe at home.  We will partner with family in 

                     supporting our client.

                 - Locating Alternative housing  as a short-term or long-term option.  

                     Please ask about our NO FEE AFH placement. 

Liaison service: when family cannot be with client at hospital or rehab setting, or be with client at medical appointment.  We can be your family's listening ears as you interpret diagnoses and treatment recommendations. We can help clarify recommendations with physicians and specialists by asking the important questions that often are difficult to think of on the spot.

Community Resource Guidance: for clients who prefer to remain active and social, we can provide referral to specific services such as Elder Day Service and Senior Centers.  Other resources can include transportation service, home care services, and  specialized pharmacy.