I offer three packages, as well as provide advocacy services on an hourly basis:
(1) Rapid Respite Placement (24-72 hours)
This package includes an in-person interview at the hospital or rehab (same-day), identification of two places which offer short term respite (2-4 weeks) with immediate availability, and a short, written report providing details about each so family can compare the options by location, cost, care and amenities before they visit. It also includes guidance on requirements for a rapid, but smooth transition from hospital or rehab to the respite facility. This can include help with coordinating crucial details (such as, but not limited to the FL2, TB test, medical equipment rental, transfer of medication and care orders, etc.)
(2) Permanent Memory or Assisted Living Placement (2 weeks)
This is for quick turn-around (2 weeks), long-term placement of patients who cannot live independently (with reasonable assurance of safety and continued best possible quality of life) without more assistance than is currently available, feasible or sustainable, by themselves or their caretakers. This includes assessment and identification of the client and family’s unique and specific needs; identification of three communities that best meet these needs; and a 15-20 page report that clearly outlines the relative pros and cons of each facility in the interests of choosing the best available alternative to the client’s current living situation. Especially important is a clear and detailed comparative cost analysis so that the client can decide on the option that provides the best value, as costs can vary greatly depending on anticipated duration of residence. After choosing a community, the family receives guidance and assistance navigating the details of the application, assessment and enrollment processes. After placement, the client receives up to three hours of follow-up consultation, either in-person or by phone, according to the client’s needs.
(3) Premium Placement
This includes pre-assessment screening tools for identification of the client and family’s unique and specific needs. Using this information, I develop a list of six to eight communities; call each to discuss questions specific to the client; then pare the list down to four to visit. The 20-30 page report provides in-depth details on the four communities and clearly outlines the relative pros and cons of each so that the client(s) can make an informed choice. Especially important is a clear and detailed comparative cost analysis so that the client can decide on the option that provides the best value, as costs can vary greatly depending on anticipated duration of stay and care needs, as well as the fee model. After choosing one or two, the family receives guidance on identifying the most suitable floor plan and navigating the application process. When possible, price or contract negotiation is pursued in the interests of the client. After placement, the client receives up to five hours of follow-up consultation, either in person or on the phone, according to the client’s needs.
I serve families primarily in the Raleigh/Durham/Chapel Hill/Cary regions in terms of placement issues. However, because I have written over 200 articles on elder issues for WRAL, I have expertise in a wide variety of issues that arise during the last years of life that are not region-specific.