Care management is a broad term for a range of services that cover nearly every aspect of a senior’s life. At HealthSense, we understand that in order to provide such a comprehensive role in our clients’ lives, we need to spend time with them, see where they live and who they rely on for care. Our process begins with a thorough assessment, which covers a client’s:
Physical health
Cognitive health including screening for dementia
Mental health including screening for depression
A thorough medication review to identify accuracy, compliance, tolerance and whether it is advisable to implement a structured medication management system
Functional assessment of abilities to perform basic activities of daily living, such as dressing, bathing, grooming, etc.
Identifying common geriatric risk factors such as frequent falls or nutritional vulnerabilities
Environment and safety review of the home
Support, resources and care systems available
After we’ve completed our evaluation, we’ll develop a comprehensive Plan of Care, which will recommend specific steps to optimize health and promote independence and enjoyment, while balancing safety and health needs. This care plan may include:
Specific recommendations for both short and long-term health care planning, such as physician referrals, home care options, rehabilitation, complex care needs, living options, palliative care and end-of-life care needs
Coordinating and facilitating Advance Directive planning such as health care proxies, Living Wills, and Powers of Attorney and educating clients on specific directives such as Non-Hospital Do Not Resuscitate (DNR) and Medical Order for Life Sustaining Treatment (MOLST) forms
Recommendations for home safety and comfort improvements for those who want to “age in place”
Providing guidance on appropriate local resources that can help with specific issues
Accompanying clients to medical appointments and advocating on their behalf.
Assisting in assembling a competent and compassionate team of home care professionals
Ongoing re-evaluation of the care plan, to ensure that it is achieving its goals
Coordinating and connecting the client with other resources, including support groups, educational literature and websites, and health care specialists
Acting as a liaison between all of a client’s health care providers to help ensure everyone is working cohesively with a unified purpose and knows what the other is doing
Implementing and overseeing medication management systems
Providing crisis intervention and triage in the case of an emergency
Book A Consultation
Speak with a dedicated care manager to assess your family’s needs.
Develop A Care Plan
We create a customized strategy for medical, personal, and home care needs.
Ongoing Support & Advocacy
Continuous monitoring and assistance to adapt to changing health needs.
Expert care management and advocacy to help seniors live healthier, safer, and more independent lives.
We help families in the New York metro area take the stress out of senior care. With 30+ years of experience in Aging Life Care™, our nurse care managers guide you through complex medical decisions, coordinate care, and provide personalized support—so your loved one can thrive and you can breathe easier.
We believe aging should be lived fully—with dignity, safety, and connection. Our mission is to support lasting wellness through expert care, compassionate advocacy, and personalized solutions that help seniors thrive at every stage.
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