Read how we help clients and their families identify their needs and overcome challenges to improve health, safety, and quality of life. These profiles depict actual Sage Eldercare Solutions clients; names and some details have been changed to protect client confidentiality.


circMolly – Long distance family, costly medications; social isolation

Background/Presenting Concerns:
Molly was in her mid eighties. She lived independently in her own apartment. Molly had two sons, one of which lived locally with family. Her other son was eager to assist in his mother’s care but lived out of state. Not being able to provide hands on help, the son living out of state called Sage Eldercare Solutions with concerns regarding the cost of his mother’s medication, her isolation and for help putting together a long term care plan.

Sage Solution:

  • Identified the fact that her late husband was a veteran and submitted claim for benefits.
  • Created care plan considering Assisted Living as a means of long term care and social integration to address isolation.
  • Given the client’s limited financial resources, prepared application for assisted living facility’s Below Market Rate Program.
  • Care manager coordinated doctor’s appointments and provided family with follow up reports to ensure correct diagnoses and medication compliance.
  • Researched assisted living facilities, evaluated options, and facilitated move once the family made their decision.

Outcome:

  • Client now receives $694 each month for the rest of life to defray cost of medication.
  • Client moved into facility for $2,500 per month, negotiated more than 50% off the market rate of $5,400 per month.
  • Advance directives completed, clarifying client’s health wishes.
  • Social isolation reduced: client dines regularly with a group of friends at her new residence.
  • Son living out of state was able to participate by funding care management, which in turn alleviated the burden on sibling living locally.

circSally – Chronic health conditions, preferred to stay home, no children

Background/Presenting concerns:
Sally was a ninety year old frail woman with multiple chronic health conditions including Congestive Heart Failure and Chronic Obstructive Pulmonary Disease. These conditions required close monitoring and regular medical attention.

Sally had no children or near-by relatives and expressed a strong preference to stay at home. Her extended family, which was very involved in her care, called Sage Eldercare Solutions with concerns regarding costs of medical transport used to take Sally to and from doctor visits and the use of privately hired and unscreened care providers who were already in place.

Sage Solution:

  • Care manager arranged and accompanied client to all doctor appointments, advocating health concerns to doctors and ensuring prescribed follow-up.
  • Provided family with reports on medical visits and frequent update calls regarding client’s health.
  • As condition intensified, enrolled client in a medical home visit program.
  • Conducted an in-depth interview with client regarding preferences for things such as food and music and then instructed care providers how to shop and prepare meals for Sally. The more intuitive and skilled caregiver was moved from night shift to day shift to provide Sally with better suited care.
  • When appropriate, facilitated hospice care. Collaborated with hospice to ensure clients, family and caregivers’ comfort levels with the dying process.

Outcomes:

  • Advocacy to medical professionals and follow up reports to family members on client’s behalf ensured proper care and monitoring of her health, also alleviating family’s concerns regarding her care.
  • Enrolling client in medical home visit program reduced medical costs and alleviated stress by eliminating expensive medical transport charges and the taxing process of moving Sally to and from doctor visits.
  • With more accurate information and direction, care providers were able to do their job more effectively and efficiently.
  • Client remained comfortably and safely at home with quality of care and quality of life until the end of her life as she wished.

circLaurie – Progressed dementia, overwhelmed family caregiver recently appointed conservator, mismatched care providers

Background/Presenting Concerns: Laurie was 89 years old and had recent difficulty recovering from surgery. She had recently been moved to California to live closer to her daughter. She was developing dementia and presented signs of depression and frustration with her new surroundings through loss of appetite, apathy, and loss of interest in reading (her favorite hobby).

Her daughter, Rose, had recently been assigned conservator of her mother following the discovery of financial abuse by a sibling. Rose, who was also a busy executive and mother of two young children, wanted to continue to play a significant role in caring for her mother but was feeling overwhelmed. Rose contacted Sage Eldercare Solutions for help caring for her mother.

Sage Solution:

  • Initiated and coordinated appointments with medical professionals specializing in dementia to ensure diagnosis and medication management.
  • Researched homecare agencies extensively to find the most well suited care provider. After several interviews, hired a care provider who understood Laurie’s sentiments of feeling undermined and frustrated with her lack of control.
  • Insulated client from contact and possible further financial abuse by sibling as directed by conservatorship. Provided guidance on daughter’s reporting responsibility as conservator.
  • Care manager worked with family and care provider to strategize methods of serving food to Laurie in such a way that was consistent with her eating habits and that she no longer felt forced to eat.
  • Arranged for Laurie to visit her hometown in Massachusetts for several weeks.
  • Arranged for in-home hospice, providing comfort to both Laurie and her family.

Outcomes:

  • Based on a well-established trust between Rose and the Sage team, daughter was able to actively participate in mother’s care and perform role as conservator while also fulfilling family, personal and professional responsibilities.
  • Laurie viewed her care provider as her friend and companion, ultimately giving Laurie a greater sense of control.
  • Laurie was more relaxed and not as reluctant to accept her surroundings, knowing that she would be going back east to her previous home for a couple of weeks each summer.
  • Laurie’s eating issues were addressed, ultimately getting her the nutrition she needed to gain strength.