Assessment & Planning
In-Home & Wellness Support
Assessment & Planning
Personalized Needs Assessments –
In-depth evaluations of health, cognition, home life & collateral supports.
Individualized Care Plans – Customized plans aligned with physician goals, client values & family concerns.
ADL & IADL Evaluations – Measuring independence with daily living skills.
Memory & Dementia Care – Specialized assessments, care planning & family education.
Care Coordination
In-Home & Wellness Support
Assessment & Planning
Medical Appointment Coordination – Scheduling & communication.
Liaison between Care Teams – Serving as the central hub between doctors, therapists, discharge planners & families.
Referrals to Trusted Providers – Home care specialists, fiduciary/trust services, legal/financial advisors, et cetera
Advocacy & Health Education – Helping families understand care options, benefits, & self-management strategies.
In-Home & Wellness Support
In-Home & Wellness Support
Specialized Health Management
- Nursing & in-home caregivers.
- Caregiver respite & companionship programs
- Meals Coordination- Meal planning, grocery delivery, favorite comforting foods;
- Incontinence supplies, home medical equipment.
- Para-medical transport for safe access to appointments and activities.
Specialized Health Management
Specialized Health Management
Specialized Health Management
- Diabetes and insulin management
- OT/PT, speech therapy/s
- Home dialysis.
- Stroke-related complication support and recovery.
- Rehabilitation following surgery, accident, and/or injury.
- Custom mobility solutions such as electric wheelchairs, lifts, and adaptive equipment.
Ongoing Support & Monitoring
Specialized Health Management
Palliative & End-of-Life Care
- Regular check-ins to adapt care plans as needs change.
- Assist with crisis intervention, rehabilitative care, assisted living.
- Ongoing documentation and outcome tracking to ensure consistent, quality care.
- Emotional support, therapy referrals, holistic care planning & family disease education.
Palliative & End-of-Life Care
Specialized Health Management
Palliative & End-of-Life Care
- Advance care planning, POLST, DPOA, legal/medical decision/s.
- Palliative and hospice support focused on comfort and dignity.
- Bereavement resources for families coping with loss.
- Assistance with final wishes, burial & funeral services, transfer of remains & organ/tissue donation.