Areas Served

Maryland, Northern Virginia, District of Columbia, and nationwide
 

Review of Clients Needs and Establishment of Goals

  • Review of every client’s medical, social, and functional needs
  • Ongoing assessments and reassessments of the client’s needs as needed
  • Helping the client clarify personal goals and values so that health and medical care choices align with those goals and values
     

Research and Translation of Medical Language

  • Research on the client’s health history and the most current treatments available, either locally or nationwide
  • “Translation” of medical information to help the client and the client’s family understand their disease and make the most informed decisions possible
     

Health Care Liaison

  • Serve as a liaison between the client, the client’s family, and the client’s medical team, as directed by the client
  • Serve as an information resource for the client and the client’s family
  • Provide coordination of home health care providers, rehabilitation care, hospice care, transitions to assisted living, and others
  • Provide services that ease the transition from hospital or rehabilitation care to home, with a focus on avoidance of readmission
  • Help organize services for persons with changes in functional abilities
  • Help with selecting and scheduling appointments with specialists, tests, and consultations, locally or worldwide
  • Accompany the client to medical visits, hospitalizations, treatments, and studies such as X-rays
  • Monitor medication, including consultation with a pharmacist for research on alternative medications, side-effects of medications, and interactions between medications
  • Provide peace of mind for patients and their families
     

Mental Health or Substance Abuse

  • Selection of inpatient care facility
  • Transition to outpatient care
  • Coordination of family support services
     

Family Support

  • Research on support groups
  • Coordination of respite care (temporary care to relieve family members who are caregivers)