Ongoing Care Monitoring & Case Management

If you can’t be there due to distance, let us be here for you and them.

We will monitor the person you are caring for on a regular or as-needed basis. We become your local  “surrogate family caregiver” when you can’t be there due to distance or other committments.

Our on-going case management and support is tailored to the unique circumstances and needs of the family and senior. It might include visiting with the senior weekly or monthly, monitoring the care plan, reminder phone calls, monitoring home support workers, liaison with other service providers, going to health care appointments and providing documentation and follow-up. We report regularly to family members and any other members of the care team.

Ongoing Care Monitoring & Case Management Activities

A Navigating Eldercare 101 session is highly recommended first, prior to purchasing a monthly package.

Our monthly packages can assist and support seniors & family caregivers with:

• • On-going case management, observation and assessment of elder(s)

• • Act as a liaison to oversee the care of an elder(s) for out of town families; assist in system navigation

• • Help setting goals to remain independent and engaged in meaningful activities

• • Assisting with transition from home and a retirement community, assisted care facility, or long term care

• • Coordination of health care services & referrals into community services

• • Coordination of transportation services and prescription management

• • Screening, arranging and monitoring in home help; caregiver training

• • Medical equipment and emergency response systems

• • Professional Documentation

• • Attending Health Care Appointments & Advocacy

What’s Included in Ongoing Care Monitoring & Case Management

• Any of the activities listed above
• On-going visits and phone calls fir observation and assessment of client and any other agreed upon activities including companionship/visitation, goal setting, health care advocacy, coordination of appointments & calendar
• Detailed documentation after each visit with any noted changes or concerns directly sent to family members

Monthly Packages

• 8 hours per month: $500+GST

Keystone Eldercare Solutions is committed to finding the right type of solution for your particular situation. Call us for a free 15- minute telephone consultation to find out if we are a right fit for your need.