DOCTORS, HOSPITALIZATIONS, TRANSITIONAL CARE
  • Manage TRANSITIONS and medications when discharged from hospitals or rehab facilities to step down units or home
  • TRANSLATE medical terminology re: treatments and options to patient and family
  • Review MEDICAL HISTORY prior to accompanying to doctor's appointments
  • Ensure CONCERNS, facts, and questions are effectively presented to physicians 
  • Communicate with all your specialists (physicians) to ensure CONTINUITY of medical care
ONGOING MEDICAL SUPPORT
  • Create and keep current a TIMELINE of medical conditions, treatments, and medications
  • RECONCILE medications for appropriate dosages and interactions
  • Discuss RISKS AND BENEFITS of recommended tests and treatments
  • Search for the most current TREATMENT PROTOCOLS; research clinical trials
  • Anticipate and CIRCUMNAVIGATE potential health problems
IN YOUR  HOME 
  • ASSESS home environment, make recommendations for safety and treatment plans
  • Coordinate and SUPERVISE care of home health nurses, therapists, and caregivers 
  • Provide family counseling and SUPPORT for specialized medical needs 
ADVANCED CARE DIRECTIVES & INSURANCE
  • Ensure Advance Care Directives accurately reflect DESIRED end of life wishes 
  • APPEAL unreasonable insurance denials for medications or reasonable coverage
  • Explain BENEFITS for Medicare, private, and long term health insurance