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Senior Sense: Case Managers Helping Seniors
  Mary McCallum, COASEV July 2006

Harriet is a willing caregiver for her 78 year-old mother Margaret. The situation often contributes stress to a life already full of job and family responsibilities. On a recent visit to her physician to have her blood pressure checked and discuss taking an antidepressant, Harriet shared concerns about her mother's forgetfulness and increasing inability to manage her diabetes.

Margaret lives alone just down the road from Harriet, and is stubborn about accepting outside help. She insists on doing her own driving for errands and doctor visits, and is intent on doing all her own food preparation, even though the meals are not always nutritious or follow diabetic guidelines.

Harriet's doctor participates in the Council on Aging's "Making the Link Program," which connects caregivers with helpful services through their physicians. He asked for permission to contact a case manager for seniors at the Council to see if there was any help available for Harriet and her mother.

"A case manager called me a few days later and told me about programs that can assist my mother with medical appointments, meal delivery and driving," says Harriet. "I knew there was help out there, but had no idea how to access any programs."

The Council on Aging's case manager then called Margaret and gently persuaded her to consider getting some assistance. Taking a big step, she agreed to give the Meals on Wheels program a try, and to allow a volunteer Senior Companion to drive her to town once a week to shop. Knowing that Margaret was being helped in those areas enabled Harriet to focus more on working with her mother on managing her diabetes.

"It's still challenging, but knowing that she's eating better and driving less is a blessing," she says. "If I hadn't talked about it with my doctor I never would have known about Making the Link, or any of the services we got through the Council on Aging case manager.

Millions of elderly or disabled Americans are being cared for by loved ones every day. Middle aged caregivers, often caught between two generations that need help, are described by the American Medical Association as the "hidden at-risk population." Despite its rewards, caregiving can be stressful, and many caregivers who are available 24/7 neglect their own health, feel overburdened and isolated, and desperately need respite.

Case managers at the Council on Aging are trained to connect caregivers with the support services that can make their job easier by providing their frail loved ones with connections to medical, social, financial, legal and day care services. Case managers answer questions and make referrals related to senior housing, Medicaid, meal delivery, caregiver support, senior companions, elder abuse, visiting nurses and more. They excel in listening to elderly clients and their caregivers and providing them with options. In southeastern Vermont there are case managers working in ten offices throughout Windsor and Windham counties.

"The case manager who worked with me and my mother made a real difference in our lives," says Harriet. "Once she got involved, I felt that I wasn't bearing the burden all by myself. With just a phone call, I can get the support I need to be a better caregiver."

RESOURCES

Senior Help-Line (800-642-5119)
Council on Aging for Southeastern Vermont (885-2655 or www.coasevt.org)

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