Care Plan Steps

Most older people prefer to live in their own homes for as long as possible.  With the assistance of our eldercare managers, this can be achieved successfully.  The key is case management.  We strive at all times to maintain optimum independence and to keep the elderly person’s wishes and opinions as the primary focus of our work.

Client as centre of care.

An elderly person’s discharge from hospital can be a period of distress and vulnerability for all involved.   Decisions need to be taken at this difficult time which can be daunting when the options available are not clear.   Elder Care Managers comprehensively assess the elder care needs of each client at this time of change.   We cost effectively manage a smooth transition for the client and their families by independently working with both private and public health providers.

We offer the following services:


Advice Consultation

There is no charge for the initial telephone consultation, which is an opportunity for both parties to gather information.

This is followed by a meeting during which we cover the following:

  • Provide information on all aspects of Elder Care Management.
  • Discuss what actions to take and the services available in your area.
  • Dementia/Alzheimer’s advice and care (if applicable).


Care Needs Assessment

The Elder Care Manager will meet with the client and where possible their Primary Carer.  This consultation can take up to two hours, with one or two visits usually needed.

The Care Needs Assessment gives a full overview of the situation at this time and allows the Elder Care Manager to identify the relevant issues and priorities.  The Elder Care Manager will use these various tools and their expertise to provide solutions.

Recommendations and suggestions are made and a Care Plan outlined detailing how to progress the care of the client.

A full written report is furnished to the client.

The Assessment phase can be the only service a client uses.  However, most clients and their families work follow on with a more comprehensive care plan that includes repeat visits by Elder Care Management.

There are a number of Service Levels following on from the Assessment Phase which will be discussed more fully with the client on a one to one basis.

Care Plan

The Care Plan is a detailed plan outlining every aspect of the care to be provided to the client.  It is a set of actions we, the Elder Care Manager, will implement to support the elderly person as identified by the Care Needs Assessment.

  • The Care Plan guides in the ongoing provision of care and assists in the evaluation of that care.
  • It is reviewed regularly and amendments made as necessary.
  • It can involve recruiting home care providers, liaising with relevant health authorities, monitoring, reviewing and reporting on all aspects of the elderly person’s care.
  • This can include daily, weekly or monthly monitoring as outlined in the care plan and is fully discussed with the client.
  • As part of the Care Plan the Elder Care Manager can attend medical consultations with the client and report on these.


Alzheimer’s and Dementia Care

Elder Care management provide advice and monitoring to families for dealing with Alzheimers and Dementia.

We independently:

  • Assess the clients needs and their available care resources.
  • Assist families to deal with changes in clients abilities providing advice on how to best care for their loved one.
  • Provide cost effective home care options.
  • Identify when advanced care is needed.
  • Assist families to select appropriate nursing home care.

Contact Us

Phone: 021 4887897
or 087 9877356

Email Us: