Our Services

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Our top priority at Pro-Elder Consulting is to help you or your loved one live as independently as possible while still being safe and secure. We can tailor a personalized solution uniquely designed to meet your family’s needs. Our familiarity with local resources saves you time, and often money. Our compassionate understanding of the aging process saves you distress.

We understand that sometimes older adults resist accepting assistance. With observant eyes and a gentle heart, we listen and make it clear that our goal is to help older adults retain as much control and autonomy as possible.

Our clients quickly realize that we are their advocates. We are allies, not a threat.

Adult daughters and sons realize that we can
• offer suggestions
• smooth transitions
• provide an objective viewpoint
• save time, money, and distress.

Give us a call at 207-944-2523 or email us at info@pro-elder.com. We’d be honored to help your family.

An Aging Life Care Manager conducts an initial assessment

Over the course of 1-2 visits to your loved one’s home, we can conduct an assessment. We report back on the strengths and weaknesses of the current situation. Looking at family resources, we can recommend options based on your loved one’s preferences and budget. We can also give you a general sense of how things are likely to evolve over the next 6 months. This way you can make decisions within the context of a longer term perspective.

The goal of our consultation is to promote quality of life for older adults, particularly those with memory loss. For individual families, this consultation may include additional information provided within the context of care management. For family caregivers or unlicensed private caregivers in the home, this may be an assessment and assistance with solving a particular problem, such as dealing with incontinence, or managing difficult behaviors.  For physicians, it may be a home assessment (when Medicare home health services are not indicated, or when a person does not have Medicare benefits). For a nursing facility, it may be help with staff development or conflict resolution. Family members may want support when making long-distance caregiving decisions.  They may want assistance with identifying options or points to consider at transition times.  They may have skills in researching options via the Internet, but a care manager can help sort through the pros and cons of these options.  Care Managers have first-hand knowledge and experience with local resources, who to contact, and what to expect.

Families may want help reaching consensus about the best approach for an eldercare situation, and a care manager provides an objective viewpoint.  Families often experience conflicts as aging parents need more support. These increasing needs may come at a time when adult children/caregivers are dealing with career advancement and parenting challenges.  Also, as people live into their nineties or beyond, adult children are likely to be dealing with eldercare issues during their own retirement or declining health.

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Care Planning and Monitoring

In addition to the initial assessment and care plan, our services include:
• Re-assessment, and guidance regarding changes in care needs;
• Education about caring for persons with dementia;
• Crisis intervention and special assistance when needed, such as times of unexpected illness or hospitalization;
• Referrals for additional services to maintain health, safety and independence;
• Consultation to assist with creating a therapeutic environment;
• Collaboration with physicians, elder law attorneys, and other professionals to assist clients;

The benefits of Pro-Elder Consulting’s services may include:
• Peace of mind
• Improved quality of life
• Support for family members and long-distance caregivers
• Maintenance of community connections
• A safer home environment
• Better health
• Expert guidance you can trust
• Advocacy for individualized, dignified care.

When care at home is no longer feasible, we provide Information and referral to assisted-living and long-term care providers and assistance with the transition to care in a nursing facility, including consultation, counseling, and guidance about the placement process and care options; and advocacy and care monitoring following assisted-living or long-term care placement to assist in the transition.

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Periodic check-ins

We can be your knowledgeable eyes and ears. Things can change quickly in the aging process. By checking in periodically, we can let you know whether your loved one is still able to live safely at home. As elder care professionals, we know the problems that commonly arise, and the most cost-effective solutions. Perhaps there are some mobility issues that are making life more difficult than it needs to be. There may be a simple device that could remedy the situation. Maybe your loved one is starting to have memory problems and needs help with paying the bills, or balancing the checkbook. Perhaps he or she needs a bit more oversight in terms of taking medications as directed. Through periodic check-ins, you receive peace of mind knowing the current situation remains the wisest choice.

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Advocacy

Advocacy in the health care system is a frequent care management role. With a sudden change in health status, families are forced to respond quickly in a system that typically overlooks individual needs.  With insurance-driven early hospital discharges, planning prior to a hospital or rehab discharge for meeting home-care needs may be minimal. Home health services covered by Medicare are short-term; a person who no longer qualifies for nursing or therapies, following hospitalization, is sometimes prematurely cut off from needed assistance.  Care managers help with discharge planning, coordinating care, and making decisions that meet the individual’s short term and long term care needs.  Long term care planning is proactive and therefore more preventative. Care management services can decrease re-hospitalization by ensuring proper follow-up and facilitating adherence with medical instructions.

Pro-Elder Consulting advocates for the autonomy of older adults in making decisions about their care and living situations. In circumstances when there is family conflict we facilitate open discussion of care options, promote communication among family members and their elders, and encourage mediation if needed rather than legal actions, if feasible. In the health care system, we advocate for discharge planning that includes consideration of the older adult’s culture, home environment and family support system. We specialize in caring for persons with memory problems, recognizing that memory loss affects each person and family differently, and that a person can have quality of life if the person is surrounded by therapeutic caregivers and meaningful activities.

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Crisis Intervention

When an older adult has an unexpected health crisis and family and friends are not available to help, we assist both the older adult and the family to cope and make a plan with them for resolving the crisis, or at least facilitating the most healthful outcome possible. When mental health concerns are a problem, we collaborate with mental health professionals as needed, while remaining present to the older adult and family members, offering support, encouragement, and guidance.

In responding to crisis situations, families have opportunities for growth as well as increased stress.  Often responses to family crisis are defined by sex-role expectations. Individuals may experience problems due to pre-existing roles, and complex family dynamics. In addition, their relationships as parents, partners, and workers, add to this complexity.  Differences among siblings and partners’ opinions can also be a factor. A professional care manager can assist families in coping with the stress of eldercare and planning for the future.

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Communicating with health care providers

If you sometimes feel overwhelmed by the medical system, you are not alone! It can be daunting for anyone. Our experienced staff can serve as your medical advocates. We help you clarify your questions, and make sure you get answers. We lobby for the type of care your loved one wishes to receive. Because we understand the system, we can go to bat for you. This liberates your time and energy to provide the love and support that only a family member can give.

It “takes a village” to ensure quality of life and independence for older adults, particularly in rural areas. We work together with other professionals in the older adult’s support system, including the person’s primary care physician, financial planner, and elder law attorney, among others.

Pro-Elder Consulting includes persons in a client’s “village”, that is those who are directly involved in decision-making or who are providing services to the older adult client, on the Release of Information Form that is part of our intake procedure. This ensures that we have the client’s permission to communicate with other “village” members in developing and carrying out the care plan. Also, we routinely request that clients sign releases with their primary care providers that allow two-way communication between the older adult client’s health care providers and Pro-Elder Consulting staff.

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