This package is designed to support seniors and their families during the critical transition from hospital to home. It ensures a smooth recovery process, reduces the risk of readmission, and provides peace of mind through personalized care and coordination.
Hospital Discharge Coordination
Communicate with hospital staff to understand discharge instructions and care needs.
Ensure all medical equipment, prescriptions, and supplies are ready at home.
Home Safety Assessment
Evaluate the home environment for safety risks and recommend modifications if needed (e.g., grab bars, ramps).
Initial Recovery Support
Provide on-site assistance during the first 48 hours post-discharge to address immediate needs.
Educate family members on care routines and instructions.
Care Coordination
Arrange follow-up appointments with healthcare providers.
Coordinate with home health agencies, physical therapy, or other support services.
Medication Management
Ensure prescriptions are filled and organized, with a clear schedule for taking them correctly.
Follow-Up Support (4 Weeks)
Weekly visits to monitor recovery progress, address concerns, and make adjustments to the care plan as needed.
Accompany the client to one follow-up medical appointment to assist with communication and care coordination.
$1,800
Additional weeks can be added at $125 per visit.
This package is ideal for seniors and their families navigating the challenges of moving to a new home, whether downsizing, transitioning to senior living, or relocating to be closer to loved ones. It ensures a stress-free and well-organized process, with additional support to help seniors adjust to their new environment.
Pre-Move Assessment
Evaluate the client’s care and safety needs to determine the best housing options.
Provide recommendations for senior living communities, assisted living, or other housing solutions.
Planning and Coordination
Develop a customized relocation plan, including timelines and tasks.
Work with moving companies, estate sale services, and organizers.
Emotional Support
Help the client and family process the emotional aspects of leaving a long-term home.
Assist in sorting and deciding what to keep, donate, or discard.
Move Day Assistance
Be present on moving day to supervise and ensure the client’s needs are met.
Oversee furniture placement, unpacking, and setting up the new home for comfort and safety.
Post-Move Care Management (5 Hours)
Provide ongoing care management support to ensure the client adjusts to their new environment.
Help connect them to local resources, services, or activities in the new community.
Address any concerns related to the transition or new living arrangements.
Additional services or hours can be added at $125/hour.
This package is designed to provide comprehensive oversight of your loved one’s care through regular visits, consistent communication, and collaboration with family and care providers to ensure safety, well-being, and peace of mind.
Weekly Well-Being Visits
Conduct 45-minute in-home visits to evaluate safety, health, cognitive abilities, emotional well-being, and overall physical condition.
Address immediate concerns and provide ongoing monitoring.
Bi-Weekly Family Updates
Deliver detailed reports every two weeks via email, covering:
Medical updates and changes.
Observations on mood and behavior.
Safety concerns or risks.
Overall well-being and progress.
Care Team Coordination
Facilitate communication with healthcare providers, service professionals, and others involved in care to ensure seamless collaboration.
Monitor care plans to prevent gaps or overlooked needs.
Family Guidance and Support
Provide answers to family questions and guidance on medical, emotional, and cognitive needs.
Offer practical advice to help families make informed decisions and deliver the best care possible.
Reassurance Calls
Provide up to one 15-minute phone check-in per week to update family members, answer questions, or offer reassurance about their loved one’s well-being.
Care Plan Reviews
Facilitate strategy meetings with family every other month to review the care plan, address emerging concerns, and adapt to changing needs.
For seniors needing more in-depth support and frequent care coordination, this package expands upon the Essential Care Package by including appointment accompaniment, crisis management, and proactive engagement.
Weekly Well-Being Visits
Conduct 45-minute in-home visits to monitor safety, health, and emotional well-being, and address emerging concerns.
Bi-Weekly Family Updates
Provide detailed emailed updates every two weeks, including:
Medical status updates.
Behavioral and mood changes.
Safety concerns and overall well-being.
Care Team Coordination
Maintain open communication with healthcare providers, caregivers, and service professionals to ensure comprehensive, seamless care.
Coordinate any necessary adjustments to care plans.
Appointment Support
Accompany clients to up to two medical appointments per month to ensure understanding of care recommendations and proper follow-through.
Crisis Management
Provide immediate support and intervention during hospitalizations or other emergencies, ensuring the client’s needs are prioritized.
Family Guidance and Strategy
Offer weekly 15-minute phone check-ins for updates and reassurance.
Host care plan review meetings with family every other month to address concerns, discuss progress, and adjust plans as necessary.
This premium package offers the highest level of support for clients and families seeking comprehensive, hands-on care management. Designed for those who want highly personalized attention and seamless care coordination.
Weekly Well-Being Visits
Conduct 45-minute in-home visits to monitor health, safety, and overall well-being, while addressing any concerns or issues immediately.
Bi-Weekly Family Updates
Provide emailed updates every two weeks detailing:
Medical and health updates.
Safety risks or environmental concerns.
Emotional and cognitive observations.
Enhanced Care Team Oversight
Regularly communicate with all members of the care team, including healthcare providers, caregivers, and community resources.
Ensure there are no gaps in care and that the client receives the highest quality support.
Appointment and Errand Support
Accompany clients to up to three medical appointments per month to assist with care coordination and decision-making.
Assist with up to two crucial errands per month, such as picking up prescriptions or personal supplies.
Proactive Care Planning
Facilitate quarterly family meetings to review care progress, update plans, and address emerging concerns.
Anticipate future care needs and make proactive recommendations to prevent challenges.
Social Engagement and Quality of Life
Coordinate meaningful social activities or outings tailored to the client’s interests to reduce isolation and improve overall well-being.
Brandi Knaus, LCSW, CCM
719-322-4899
brandi@elevatecolorado.net
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