A geriatric care plan is a way to help aging individuals ensure continued good health, and according to HelpGuide.org, “improve their overall quality of life, reduce the need for hospitalization and/or institutionalization, and enable them to live independently for as long as possible.” S https://www.parentgiving.com/elder-care/developing-care-plan/

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Articles Library » Care Manager Advantage
Developing a Care Plan
A geriatric care plan is a way to help aging individuals ensure continued good health, and
according to HelpGuide.org, “improve their overall quality of life, reduce the need for
hospitalization and/or institutionalization, and enable them to live independently for as long
as possible.” Stemming from a geriatric assessment, a care plan ensures that families, aging
individuals, and health care providers are all on the same page regarding health care and
living arrangements, and that each knows his or her role in managing the needs of the aging
individual.
A geriatric assessment is performed by a geriatric care manager or licensed social
worker. The goal of the geriatric assessment is to evaluate the current and future
medical, social and emotional needs of the aging individual. A geriatric assessment
should include:
A complete physical, mental and psycho-social evaluation
An assessment of the individual’s personal care competencies, known as actvities of
daily living (ADLs)
An evaluation of current living arrangements and access to support services
Identi cation of existing problems
Listing of anticipated problems
The geriatric assessment should give families and caregivers all of the information needed to
develop a solid, comprehensive care plan for their loved one. According to the American
Association of Retired Persons (AARP), a care plan “assesses an individual’s medical and social
service needs, and then coordinates assistance from paid service providers and unpaid help
from family and friends to enable persons with disabilities to live with as much independence
as possible.” Such a plan should include:
Help managing personal care responsibilities, medication delivery, and general physical,
mental and psycho-social issues. For some families, a home health aide or an assisted
living environment addresses these issues.
Anticipate changes needed in living arrangements developed to ensure the continued
safety and health of the aging individual. Sometimes, simple attention to geriatric home
safety is all that a family needs to ensure the continued health and safety of their loved
one. Other times it may be necessary for the older individual to be moved to a smaller
housing unit, apartment or other one-level living arrangement (including assisted living
options and/or nursing homes).
Managing the connections between support services, healthcare providers and the aging
individual to ensure that the loved one receives the necessary care and monitoring.
A plan for ongoing monitoring and reassessment. Families, especially those who don’t
live nearby their aging parents, should make sure that they receive periodic reports
about their loved ones. Regular reassessments should be scheduled to address any
changes in the older person’s physical, mental or psycho-social needs. Special attention
should be paid to the need for immediate modi cation in the event of a drastic change in
the older person’s health.
Fast Facts
A care plan is developed from a complete geriatric assessment that evaluates the current and
future medical, social and emotional needs of the aging individual.
A care plan coordinates the help of the family, paid service providers and volunteer
organizations to enable the older person to live as independently as possible.
A care plan has to be updated regularly and might need immediate reassessment if a
significant change in the older person’s health, mental condition or psycho-social needs is
evident.
Step One: The Geriatric Assessment
Step Two: Developing a Care Plan
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