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Case
Study - Continued
<Previous>
Tina
prepares a written holistic living plan based on her
assessment of each bio-psycho-social factor.
Physical:
Tina suggests having a Lifeline system installed at
Barbara's house to allow her to call for assistance
in case of an emergency. She recommends that her physician
follow up with a neurological exam to eliminate vascular
dementia or other physical problems that could have
contributed to Barbara's falls. She proposes to work
with Barbara's physical therapist and physician for
follow-on strength and balance training after physical
therapy ends, and on Barbara's hearing loss and need
for a hearing aid. Tina gives referrals to three bonded
agencies that can provide a companion to help with
cooking and transportation several times a week. Tina
provides information on senior transportation options
and Meals on Wheels that Barbara can access. Tina
does not make a recommendation for in-home health
care at this point.
Psychological:
Tina recommends that Barbara's primary care physician
refer her to a psychologist to perform a neuro-psychological
evaluation to identify possible causes for her falls
such as visual-spatial deficit. She refers Barbara
to a reminiscence/life review support group meeting
weekly in Carmel to address Barbara's isolation, depression
and work on her lack of confidence.
Social:
Tina provides the names of two Adult Day Care centers
in Barbara's area that provide pick/drop off service.
She meets with the pastor of Barbara's church to identify
resources within the congregation to help with Barbara's
transportation to church functions. She suggests that
Barbara attend a weekly woman's circle at the church.
Tina proposes to set up email access for Barbara and
educate her on how to maintain email contact with
her daughter, grandchildren and family.
Legal
/ Financial: Tina recommends that Barbara establish
a durable power of attorney for both finances and
health care and provides the name of two elder law
attorneys in the area who can set these up. She also
suggests that Barbara have the attorney review her
will and estate plans. She recommends a local accountant
to assist Barbara in bill paying. She proposes to
work with Mary to determine Barbara's insurance benefits
and entitlements under social security and Medicare
and to assist Barbara and Mary in filing claims.
Long
term plan: Tina provides long-term cost projections
for several living settings in the Carmel area based
on Barbara's assets, entitlements, and future physical
needs. She includes cost projections for geriatric
care management for Barbara as well. She suggests
working with Mary and Barbara to determine a strategy
for optimum use of assets and entitlements in the
future with which everyone is comfortable. Tina also
proposes to assist them in end of life planning. <Next>
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