介護支援専門員-Elder Care Planning Tool

Example

Evaluating an individual's daily living abilities and creating a personalized care plan.

Scenario

A care manager visits an elderly person's home to assess their needs for daily activities such as eating, bathing, and mobility. Based on this assessment, they create a care plan that includes services like meal delivery, a bath aid, and a mobility aid to support independent living.

Example

Organizing and coordinating various care services as per the care plan.

Scenario

After establishing a care plan for an elderly client with dementia, the care manager coordinates with a home help service, a day service center, and a local community support center to provide comprehensive care, ensuring the client receives appropriate support for their condition.

Example

Regularly visiting the care recipient to monitor their condition and updating the care plan as necessary.

Scenario

A care manager conducts monthly visits to check on a client who has recently had a stroke. Observing improvements in the client's mobility but an increased need for social interaction, the care manager adjusts the care plan to include fewer physical therapy sessions and more community activities.

Example

Acting as an intermediary between the care recipient, family, and service providers; advocating for the client's needs and preferences.

Scenario

When a family disagrees on the level of care needed for their elderly parent, the care manager mediates the discussion, providing expert advice on the necessary care level and advocating for services that align with the parent's wishes and health requirements.