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PrimeCare at Massachusetts General Hospital coordinates care and services for elders and the family and friends who care for them.
Massachusetts General PrimeCare is an elder care service that works closely with both elders and the family members and friends who care for them to create a coordinated and customized care plan.
Our care managers provide concrete resources, elder care plans, caregiver support, as well as resources including private home care, assisted living and nursing home options to ensure the well-being of the elder, while making it easier for caregivers to maintain a healthy balance in their lives. Depending on each individual’s needs, our services may be targeted to specific areas, such as assisted living decisions, or may be more comprehensive. One of the keys to successful care of an elder is ensuring that the caregiver can sustain the time and energy needed for his/her family, career and other life interests.
At PrimeCare, our goal is to gain a full understanding of the specific issues and concerns faced by each elder and caregiver, and to provide a comprehensive, individualized care plan detailing the services and resources available to address these needs.
The plan provides step-by-step, issue-by-issue direction and guidance to help keep the elder safe, secure and as independent as possible. Included in the plan is customized guidance and recommendations for managing care costs.
Some of our clients use the plan as a guide to implement the care steps themselves. Others prefer to have PrimeCare help them carry out some or all components of the plan. In either case, PrimeCare provides the information, tools and caregiver support to best implement the plan.
We perform a comprehensive in-home evaluation to gain a full understanding of the situation, the needs of the elder and caregiver and any specific concerns. If the patient is not at home, our initial assessment can also take place at the acute care hospital, rehabilitation facility or any other setting along the care continuum.
Once we have created a comprehensive and individualized plan tailored to the needs of each elder and caregiver, a care manager will help navigate the health care system to ensure that your elder’s care is coordinated and effective. We will help find high-quality, cost-effective medical care solutions. The care manager will:
The care manager will also ensure that the home environment maximizes the elder's independence while minimizing safety risks through a home safety evaluation. This evaluation includes:
The care manager can explain how to best obtain elder care providers for these services, as well as alternative living options. Our care teams provide guidance and support to evaluate and select living options such as assisted living, skilled nursing care, long-term care, rehabilitation settings, adult day care and respite care. We can then help implement the plan, as this can often be the most difficult step to successfully navigate.
Meeting the rising cost of elder care services can be challenging for elders on fixed incomes and their caregivers. PrimeCare can provide information on how to maximize your financial resources for elder care, including:
Our care managers can also provide guidance on estate planning, health care proxies, advance directives, power of attorney and long-term care insurance.
Our care managers provide elder support in a range of ways, including onsite visits to the elder's home or current residence. These visits evaluate the care your elder is receiving, which can be particularly helpful if your elder lives far away. Care managers can also assist in arranging placement or transfer to select facilities, as well as participate in healthcare provider meetings, communicating between the medical team and the family. In all capacities, the care managers serve as advocates for each elder.
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