Care Navigation

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Pathways is dedicated to providing support services to people who are elderly, diagnosed with

a chronic illness, lonely, isolated and want to remain independent in their own homes or assisted living facilities.

 

Today’s society is faced with the challenge of maintaining high standards of health care despite a continued increase in medical costs, senior population, and an ever-increasing number of people diagnosed with a chronic illness that requires long-term care. Most people in our community do not have adequate social and/or financial support and only 5% live in nursing homes.

 

With the rising standards of health care and expensive medical costs, it has become increasingly difficult to attain this type of care. Through Pathways’ Care Navigation program, however, these individuals can find help and comfort with professional case managers and compassionate volunteer companions.

 

Initial Assessment

First and foremost our program centers on building a relationship with the client. 

To best understand each client's needs, a Care Manager will meet with the client and family (if requested) to perform a detailed, comprehensive assessment in the comfort of the client’s home. During the assessment, the Case Manager will:

• Assess client in: DailyGather detailed medical information

• Document medications & Assess if intervention is needed

• Assess living situation, home safety, and support system

• Assess physical and cognitive status

• Discuss advance directives (healthcare power of attorney, living will, etc.)

Upon completion of the assessment, the case manager will return to the office and develop a Plan of Care. This plan will include professional observations, as well as client, family and other involved parties' input. Preferences and recommendations are put into a detailed plan of care or “action plan.”

Agency Collaboration

Pathways works with a variety of social service and health-related organizations to better serve the frail and elderly in our community. Our most noted partners are  Meals on Wheels, CSULB, SCAN, The Burns Community Center, The Weingart Senior Center, the Cerritos Senior Center, City of Long Beach and Family Services of Long Beach. Together, our collaborations bridge the gap that befalls many of our seniors today.

 

CONTACT US to request our services or to learn more about the program.

(562) 531-3031