Aging Services + Care Management | Hudson Valley + Virtual

  • Communication & Scheduling

    • Point person for medical providers
    • Schedule follow up appointments
    • Obtain referrals

    Medication Management

    • Manage medication changes with pharmacy
    • Communicate with medical providers about prescription changes
    • Regularly refill medication organizer

    Care Coordination

    • Identify areas of need, like speech therapy and audiology
    • Identify providers for these services
    • Schedule appointments with providers

  • Medication

    • Explain medications, along with side effects, what to look out for

    Coaching around transitions

    What to expect and how to help plan for transitions:

    • Hospital to home, hospital to rehabilitation setting
    • Moving to new living situations

    Home Care

    • What to expect from home health aides
    • Caregiving coaching: how best to care for your person
    • Referrals for home health services and different living situations

    Home Safety Guidance

    • Creating a safer living space
    • Assessing the appropriateness of current living situation

  • • My person is experiencing some cognitive impairment. What can I do?
    • My person received an Alzheimer's disease diagnosis. What's next?
    • Behavioral interventions for people living with dementia
    • Planning for the future

  • Communicate with medical providers about client's care & well-being in different settings:

    • Hospitals, rehabilitation settings, skilled nursing settings
    • Identifying client's health care and quality of life priorities

  • Healthy Living Coaching

    Share coaching and resources around topics like:

    • Sleep habits
    • Eating
    • Exercise
    • Socialization/community

    Wellness Resources

    Identify activities & healing modalities that increase physical and mental well- being:

    • Day programs for people living with dementia
    • Other community programs & enrichment activities
    • Alternative treatments like acupuncture and massage

  • Non-Clinical Counseling & Coaching

    • Family meetings, individual coaching, grief support

    Caregiver Education

    • Ways to be an effective long distance advocate
    • Behavioral interventions for people living with dementia

  • • Review health insurance plan for unused benefits
    • Educate and assist with health care proxy, living will documents and other advanced directive documents
    • Refer to professionals based on needs such as elder law attorneys, financial advisors