Help for those who care for elders

Many adult children who care for their aged parents face numerous challenges, including seeking out the best services for elder care and how to pay for them. A recent New York Times "Well" blog entry describes the process and benefits of engaging a geriatic care manager. Such a manager assists overwhelmed family members in assessing the elder's needs, connecting with high-quality services, and even negotiating the arrangements if family members disagree.

Because elder care is so personal and requires great trustworthiness, consider these suggestions from the entry:

Be sure to ask about backgrounds and credentials. If your parent has complicated medical issues, a care manager with a nursing background might be best. If the parent has cognitive problems or is just plain ornery, someone with a master’s in social work might be better.

Find out whether the person is a member of the national care managers’ association, which has strict requirements: members must have a master’s degree in a field related to care management, like nursing or social work, two years of supervised experience and certification by one of three accrediting agencies. Ask for a brochure and a fee schedule. Learn whether the care manager works alone or in a group practice and if they will be available to you 24 hours a day or just on weekdays.

Finally, consultations and care management can be fairly expensive, and Medicare does not pay for such services, so families need to take the financial piece into account too.