Geriatric care manager’s serve older adults before they find they are dying. GCM’s work with chronic care clients, some times for years, who eventually succumb to their illness. They also work with client’s who come to them facing end of life issues.
The process of acceptance and adjustment to terminal illness has five phases:
· before the diagnosis,
· the acute phase
· the chronic phase
· the recovery phase
· the terminal phase
A care manager is a GPS for both the client and family through the
5 stages, bringing in critical service like palliative care and hospice
caregiver respite and quality of life the whole continuum of care for supporting end of life- at the right phase at the right time –
Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professional to bring in quality of life to every phase so that the client can have not only a good death but a good life to the very end.
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