PROVISION OF SERVICE
I will provide ongoing service to you only after I have assessed your needs and you, or a person designated to act for you, understand and agree to a plan of service, the results that may be expected from it, and the cost of service.

SELF-DETERMINATION
I will base my plan of service on goals you, or a person designated to act for you, have defined, and which enhance the decisions you have made concerning your life.

LOYALTY
My first duty is loyalty to you. I will always provide services based on your best interest, even if this conflicts with my interests or the interests of others.

TERMINATION OF SERVICE
I will end service to you only after reasonable notice. I will recommend a plan for you to continue to receive the services as needed.

SUBSTITUTE JUDGMENT
I will not substitute my judgment for yours unless I am acting in the role of your guardian, appointed by a Court of Law, or with your approval, or the approval of someone designated to act for you.

CONFIDENTIALITY
I will hold in trust any confidence you give me, disclosing information to others only with your permission, or if I am compelled to do so by a belief that you will be seriously harmed by my silence, or if the laws of this State require me to do so.

REFERRALS/DISCLOSURE
I will refer you only to services and organizations I believe to be appropriate and of good quality. I will fully explain to you any business relationship I have with any service I propose, and give you information on alternatives, if at all possible, so that you, or a person designated to act for you, can make an informed decision to accept or reject the services I recommend to you.

COOPERATION
I will strive to ensure cooperation between all of the individuals involved in providing service and care to you.

QUALIFICATIONS
I am fully qualified in my profession to provide the services I undertake. I continue to improve my skills and knowledge by participating in professional development programs and maintaining certification and licensing in my profession.

DISCRIMINATION
I will not promote or sanction any form of discrimination

10. Government won't pay for long term care at home, in a nursing home, or in an assisted living center. Medicare pays 100% of nursing home care for 20 days and all but approximately $110.00 per day for the next 80 days (as long as you continue to make progress with Rehab). However Medicare only pays for skilled care and most long term care is not skilled care.

9. The national average cost for nursing homes is approximately $150.00 per day. Assisted living ranges anywhere from $40 - $90 per day. If you live on the East coast you can easily spend $50,000 to $80,000 for a year's stay in a nursing home. These costs are perfectly capable of wiping out a lifetime of savings - not to mention the emotional effect that long term care has on a family.

8. A Harvard University study showed that 69% of single people and 34% of married couples would exhaust their assets after 13 weeks in a nursing home. 13 Weeks = 91 days!

7. At age 65, a woman has a one out of two chance of spending some time in a nursing home. A man has a one out of three chance. In the case of men, mortality catches up with morbidity.

6. Medicaid kicks in only after a person's assets are gone. In many states the eligibility threshold for single people is $2,000 in assets.

5. Children would like to help, but children often have children of their own. They certainly can't quit their jobs to care for their parents.

4. Health rarely improves with age.

3. People can't buy long-term care coverage at crisis time or when they are ready to use it.

2. American's have access to the best health care in the world, if they can pay for it.

1. Most people want to choose where they go instead of having to go where they are taken, and if independence is important to them, they will need to have either a big estate or adequate insurance.

• Listen as you describe your situation, needs and goals
• Ask lots of questions, and answer yours
• Discuss what resources and options are available to meet your needs
• Introduce you to the information and resources available
• Make specific recommendations and referrals

Nancy’s goal is always to help you feel as healthy, comfortable and happy as possible. On that I hope we could agree. Beyond that, it is common for families to view a situation differently and have different feelings about, for example, levels of risk in the home. Nancy has a lot of experience achieving compromises that everyone can feel good about.

Nancy’s specialty is care planning for people with dementia who want to live in their own home.

In many cases, the services and products you need will be available from independent businesses and providers that are available in the area. If you wish, the Care Manager will order equipment, make arrangements for services and/or make an appointment on your behalf.

Some people benefit from on-going support from a care manager. For example, a divorced woman with mild dementia and no family nearby wanted to continue living at home and a couple that could drive anymore and both used a care manager to arrange for home care services. In such cases, expanded care management services can be invaluable.

The Care Manager will, with your permission, work with you, your family or chosen family, and other members of your team as appropriate – doctors, attorney, trust officer, care and service providers – to create a plan of care that meets your needs. A Care Manager can also help family members understand your needs and to learn what resources and options are available to meet those needs.