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[quote=Anonymous]A good one can have a special way of talking to the senior to be able to get them to try things you can't get them to do. Some can also can quickly set up things like PT, OT, in-home doctor consult, nursing-aide. However, beware, some are on the age-in-place gravy train and it's the rare senior who doesn't want to age in place. They will sell the moon about how they only contract with the best services and "no-shows" aren't an issue and yada yada. What age in place turned into for us is the following:

*A very lonely parent who was verbally abusive to us and wanted us to be her social life. She needed to be around peers for the social experience and to behave.

*Plenty of no shows, plenty of emergency calls to us and a case manager who didn't care because she already accessed the gravy train and got consent when senior could give it. Health POA was given to a sibling who didn't live in the area and wanted to follow mom's wishes.

*Stealing by staff and otherwise trying to take advantage of mom.

We had to make a serious play that we were moving out of the area and would no longer be the family that lives closest for sibling to do the right thing and place mom in in residential which was a world better. We actually hired a new case manager who works well with assisted living facilities to make sure mom was getting good care and to assess when she needed her own aide and help with medication management discussions when mom became nasty.

So....all this is to say, yes, case managers can be good, but they can also be a bit predatorial in playing into unrealistic ideas by a senior.[/quote]

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