In the Week of a Geriatric Care Manager
February 26, 2009 at 10:35 am | Posted in Megan Milchman, GCM | Leave a commentTags: GCM, Personal, Weekly
Monday: A visit to M, she has had some bleeding. Phone calls to her urologist are in order. I manage to get an appointment for her to see her doctor on Tuesday. In the mean, time I fill her medi-minders and try to get her to relax – her blood pressure is rising from her anxiety. She feels much better when I tell her I got the appointment for her tomorrow.
I send an email to her niece to let her know what is going on and that everything has been handled, and we will be seeing the doctor.
Later in the day I meet up with my boss to meet a new client of ours, A. She is very pleasant and is happy to be working with us. I sit at the table and we go over her medication, filling medi-minders. Everything is written and handed to her Aide.
Tuesday: A trip to an Assisted Living facility where G lives. We moved him there a few weeks ago and he is doing much better, and is much happier than he was. I bring him some clothes that he left at his previous place and a shower chair. He tells me how grateful he is to have a Geriatric Care Manager like me, and that no one has ever cared for him like this before. Everyone at the facility tells me what a wonderful person he is.
I take M to the doctor, where she becomes very anxious and her blood pressure begins to rise again – it takes a lot to calm her down, but she feels much better after she sees her doctor and he tells her not to worry. He prescribes antibiotics for her UTI and tells me to call on Friday so that he knows how she is doing. We leave the doctor, I fill her medication and take her home and fill the medi-minders letting the Aide know how long she will be taking them and when.
Emails and phone calls to the family members to let them know everything has gone well.
Wednesday: A visit to MA to go over her meds and meet with her and her Aide to see how their first week together has gone. She tells me that she is happy to be home and that everything is going great with her new live-in. That this morning they both went to Mass for Ash Wednesday and she is grateful that she had someone who would take her.
A visit to P, she lives a long term care facility. I review her chart, to see if any changes have been noted in her diagnoses, medication, or to see if the doctor has run any tests. Everything seems to be going well, no changes have been noted.
Visit with GI, who has recently been moved to the same facility. She is doing much better than she was and has gained 4 lbs in the 2 weeks she has been there. The Family is very happy to hear this.
A visit to R and a trip to his doctor. We wanted to check his weight, we’re not sure that he is eating. He lives alone right now and the family is worried about him. The doctor doesn’t find anything unusual, but you can tell that R is depressed, he misses his honey he says. I take him home and adjust his medication changes which the doctor made. We are planning a trip for an Assisted Living on Friday, hoping to find somewhere he can be social and take his beloved cat. The family is concerned and wants me to visit twice a week for now.
Thursday: Spent the day with Follow ups on my clients that I have visited throughout the week, making sure that they are doing well.
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