Coordinating All Aspects of Care

Ms. J’s 91-year-old, very independent aunt (Mrs. H), was visiting from Oregon. Mrs. H required unexpected orthopedic surgery during her stay in California. Ms. J was concerned, as she knew her aunt had a complex health issue, but no details. She was told of the services of Angel On My Shoulder and called for assistance. Our case manager was assigned to the case the next day.

We contacted healthcare providers in Oregon to complete a comprehensive assessment, which assisted in answering the health questions needed for surgery. Part of the evaluation included social history, which helped in long term planning and relationship building.

It was determined that Mrs. H would stay in California with her niece. Immediately we went to work to find a new primary care physician (PCP), caregivers, and support for home modifications for Ms. J.

Mrs. H had never addressed long term planning including advanced directives. Angel On My Shoulder’s Case Manager educated both Mrs. H and Ms. J on choices and directives. Our Case Manager continued to visit Mrs. H, at which time she coordinated homecare, supervised, and educated caregivers. She became a friend to Mrs. H and an advocate for her. Ms. J was able to work during this stressful time and received the peace of mind that she had provided the best care possible for her aunt.

What We Offer

  • Patient Advocacy
  • Case Management
  • Comprehensive Coordination of Care
  • In Home Living Support
  • Memory Care Support - Alzheimer's & Dementia
  • Care Giver Placement and Training
  • Transition to Supportive Living
  • Oversight of Clients in Long Term Care Facilities
  • Elder Care
  • Concierge Elder Services

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