The CARE Method

A Comprehensive Approach to Address Dementia, Depression, Balance, Daily Function and Quality of Life

A team led by a board-certified geriatric psychiatrist with more than 30 years’ experience, a physician assistant, and professional care managers licensed and certified in nursing and dementia care

How We Do Things

Collaborate

Our team collaborates extensively with our client, families and other providers. By assessing medications, medical problems and environmental factors, the team develops a care plan to improve balance, health and quality of life, often within a few weeks.

Assess

The CARE Method is implemented by our licensed professionals with additional assessments from other practitioners.

Review

We combine medication management with nonpharmacologic strategies to address and resolve crisis situations rapidly within the detailed care plan that is developed.

Enrich

Our ultimate objective is to safely enrich our client’s lives through their older years.

For Professionals

For professionals providing medical care, or working in senior living communities, or providing home care services, the CARE Method may help improve the physical and mental condition of clients across the spectrum:

  • Residents who you believe would be appropriate to move into, or remain in, your community if their mental status and physical safety could be stabilized;
  • Home care clients at risk of transitioning out of their own homes because mental or behavioral changes may be jeopardizing their independence or unable to be managed safely by caregivers;
  • Patients who are experiencing recurrent falls, making excessive ER visits, or requiring an excessive amount of time and attention from your practice.

 

How the CARE Method Helped Jim and his Family

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Jim’s family came to Aging Solutions desperate for help. Jim was 82 years old and was about to be evicted from the senior community where he had lived for several years. Jim's behavior and interactions with the community had recently changed for the worse. He had become angry and agitated and would yell obscenities so loudly they could be heard up and down the hallways. Still physically fit, Jim had become violent as well, punching holes in his apartment walls but also outrunning his caregivers when they tried to restrain him. He had been banned from the dining room and other common areas.

A second local senior community had rejected Jim's application to move in. His family realized that no other community would accept Jim as a resident as long as these behaviors continued. His family had expended huge resources—emotional as well as financial—trying to manage Jim and they were nearing a point of exhaustion.

ASI's CARE Method team aimed to stabilize Jim's behavior rapidly so he would not be forced out of the community with no place to go.

Our consulting Geriatric Physician reviewed the medications that Jim’s doctors had prescribed and saw that several were not well tolerated by the elderly. She then implemented a revised medication plan. The CARE Method team then visited Jim two to three times a week to monitor how his behaviors might be changing in response to these medication changes, reporting back to the geriatric physician so she could further refine dosage amounts and frequency.

The team also conducted assessments of Jim’s environment and social interactions. We came to understand that Jim, like most people, was having great difficulty coping with his increasing loss of independence and isolation as he aged. Thus, the team’s overarching goal was to find ways to increase Jim’s sense of control and purpose.

In keeping with the CARE Method's emphasis on holistic solutions, the team also worked closely with the residential community, with Jim’s caregivers, and with Jim personally to make small, incremental changes to his daily routines and interactions — focusing more on small positive steps than on old negative behaviors. These environmental adjustments were made in sync with Jim’s new medication plan.

Within eight weeks, Jim’s anger and violent behavior had stopped completely. The community withdrew their eviction process and invited Jim to stay. Not only that, the alternative community that had previously rejected him offered Jim a placement, an offer that he and his family accepted.

Jim’s family was delighted to see him return to his previous stable and happy state. They themselves were now able to return to their own daily lives with some measure of peace.

(Although Jim is an actual client, we have changed his name and identifying details, in keeping with our commitment to client confidentiality and to PHI security. Similarly, the photo is a stock image, intended for illustrative purposes only.)