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Geriatric care management
Geriatric care management (also known as "Aging Life Care™," "elder care management", "senior health care management" and "professional care management") is the process of planning and coordinating care of the elderly and others with physical and/or mental impairments to meet their long term care needs, improve their quality of life, and maintain their independence for as long as possible. It entails working with persons of old age and their families in managing, rendering and referring various types of health and social care services.〔Cress, Cathy Jo. ''Handbook of Geriatric Care Management.'' Jones & Bartlett Publishers, 2010.〕 Geriatric care managers accomplish this by combining a working knowledge of health and psychology, human development, family dynamics, public and private resources and funding sources, while advocating for their clients throughout the continuum of care. For example, they may assist families of older adults and others with chronic needs such as those suffering from Alzheimer's disease or other dementia.〔National Association of Professional Geriatric Care Managers. (What is a Geriatric Care Manager? ) Tucson, AZ. Accessed 8 August 2011.〕
==Overview==
Geriatric care management integrates health care and psychological care with other needed services such as: housing, home care services, nutritional services, assistance with activities of daily living, socialization programs, as well as financial and legal planning (e.g. banking, trusts). A care plan tailored for specific circumstances is prepared after a comprehensive assessment has taken place, and is continuously monitored and modified as needed.〔SeniorMag.com. (Geriatric Care Management (Assessment). ) Accessed 8 August 2011.〕
A comprehensive geriatric care assessment is thorough and can take anywhere from 2 to 5 hours in length, this of course is broken down into 2 or 3 assessment visits with the patient/family members. The comprehensive assessment is really a compilation of smaller individual assessments with the first one being a primary intake assessment which includes demographic type data as well as a health history, social history, & legal/financial history. From there, a medication profile assessment is included, as well as an assessment of ADLs (Activities of Daily Living) and IADLs (Instrumental Activities of Daily Living). In addition other assessments may include; Falls risk assessment, Home safety assessment, Nutritional assessment, Depression assessment, Pain assessment, Mini Mental State Exam (MMSE), MiniCog Clock Drawing Exam (Cognitive Assessment), Balance assessment, and Gait assessment(ability to walk). If the comprehensive geriatric care management assessment is being conducted by a Registered Nurse, then a physical assessment can be included such as vitals signs recording temperature, pulse, respirations, blood pressure, oxygen saturation, and sometimes FBS or RBS (Fasting or Random Blood Sugar) checks for diabetics. In addition, physical assessments in areas such as cardiopulmonary, gastrointestinal, musculoskeletal, genitourinary, eyes/ears/nose/throat, integumentary(skin), lower extremities inspection, as well as a modified neuro assessment and medication compliance assessment. 〔infinitycare.org. () and (Comprehensive Assessment. ) Accessed 7 October2013.〕
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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