Our concierge care planning, management and advocacy services provide guidance and support to individuals and families coping with the complex issues of aging, chronic or degenerative disease, disability or special needs. – See more at: http://lcdne.com/about-our-care-management#sthash.lGa3q2rk.dpuf

Life Care Directions provides concierge care management, care planning and advocacy services to individuals and families coping with the complex issues of aging, chronic or degenerative disease, disability or special needs. Our unique approach promotes independence and ensure a high quality of life that is adapted to each client and family’s needs, whether they be crisis, transitional, short-term or long-term.

We recognize that families experience fear, uncertainty and overwhelming stress and frustration when dealing with the fragmented healthcare system and a loved one’s crisis, transitional or ongoing care needs. We understand that a loved one’s healthcare problems affect other family members and friends. Because of the breadth of services we offer in-house, we are able to take an anticipatory approach to care management that provides the entire family with the support, guidance and direction needed to face their challenges with confidence.

Life Care Directions is staffed by licensed social workers and other experienced professionals, caring for individuals and families throughout the Greater Boston and Massachusetts area. Our services are available to clients of all ages and health concerns.

What makes Life Care Directions unique?

Areas of expertise:

  • Alzheimer’s and related dementia
  • Recovery from surgery and rehabilitation
  • Multiple Sclerosis
  • Parkinson’s disease
  • Stroke recovery or paralysis
  • Traumatic Brain Injury (TBI)
  • Mental health disorders
  • Developmental & intellectual disabilities
  • Cardiac conditions, diabetes, and other chronic disease

Click here for a copy of the Life Care Directions Brochure

Care Transitions Program

Comprehensive care planning, coordination & implementation of services during difficult and stressful care transitions, such as hospital discharges, move to a long-term care facility, or other sudden changes in care circumstances.

Prescription Management Program

Dealing with doctor’s offices, insurance companies, mail-in pharmacies and coordinating everything at home is time consuming and relentless.  The care managers at Life Care Directions are able to streamline and simplify this process for you and ensure medication safety.

Behavior Management & Caregiver Training

Specialized evaluation and development of coping strategies for challenging behavioral symptoms caused by dementia, mental health or developmental disabilities, followed by structured training for caregivers to successfully implement a therapeutic approach.

Home and Personal Safety Program

Assessment of the complex home and personal safety issues related to changes in physical, cognitive or emotional functioning levels, resulting in specific recommendations and implementation of home and personal safety modifications to maximize independence, ensure well-being and safety.

Programs for Employers

Caring for an aging parent, disabled spouse or family member with a long-term illness is unpredictable, stressful, distracting and draining for your employees. We can work with employees individually or design an educational seminar for your staff.  Employees will learn about resources available to them to relieve the stress of caring for a loved one as well as strategies to preserve their own or a loved one’s income and assets.

Alzheimer’s and related dementias

  • Arranged homecare and adult day health services for a health 70-year-old man with advanced Alzheimer’s disease, while coaching and counseling his spouse through grief and loss issues.  This client was also suffering from some difficult mood and behavior symptoms and we were able to effectively assess these symptoms in the home environment and articulate them to his physician who was able to initiate the right medications.  In an effort to create a sustainable long-term plan, we are working with this client’s family to proactively consider long-term residential care options.

Medical and insurance advocacy

  • Advocated for an extension in health insurance benefits so that a 54-year-old woman who had a devastating stroke could remain at an acute care rehab facility almost 3 weeks longer than her insurance benefits originally allowed.  This required partnering with her physicians, private insurance company and elected officials to urge the insurance company and providers to think outside the box and consider this woman’s rights and medical needs.  This unheard of extension truly saved her life.

Post-surgical and complex rehabilitation care

  • Assisted a 64 year old woman with transitioning home from an extensive rehabilitation stay after major cardiac surgery.  Together we coordinated homecare, VNA services, pharmacy management, and purchased new health insurance.  Our weekly visits allowed us to supervise and coordinate all of her services and provide comprehensive updates to her out of state families who now have peace of mind.

Multiple Sclerosis

  •  Collaborated with a 38-year-old man and his parents to apply for and begin receiving Social Security Disability Insurance and Medicaid, which allowed him to enroll in the state’s Personal Care Attendant Program. Together we also applied for, and then helped him move to, handicapped, subsidized housing, hire a full time PCA. We also initiated prescription management services.  Additionally, we assisted him with applying for transportation services and identified community programs to fulfill his ongoing social and physical therapy goals.

Mental health disorders

  • After three appeals, and extensive advocacy, a 51-year-old man with chronic mental health and substance abuse issues is now receiving public benefits from several state and federal support agencies, and is living successfully in a group home.  We continue to provide support, advocacy and guidance to this client, his family and providers to ensure all of his needs and goals are met.

Traumatic Brain Injury (TBI)

  • A 43-year-old father of two young children sustained a life changing TBI from a catastrophic motorcycle accident. Over the last several years, he has made an incredible recovery but still suffers from physical and cognitive impairments.  His aging mother is now his legal guardian and has made it her mission to help him gain more independence. We have successfully transitioned him from a traditional group home to an innovative shared living residence, which allows him to be much more independent and be part of the community again. This transition would not have happened without our tireless advocacy and negotiations with his clinical team, state agencies, private nonprofit organizations and insurance companies.

Families in conflict

  • Because Lindsay Brennan is trained in mediation, conflict resolution and consensus building among those with differing opinions, we specialize in supporting those coping with these complex issues.  Recently we carefully supported a 90-year-old woman whose son and granddaughter were unable to work together due to serious disputes.  Both family members were supportive to the elder and involved in her day-to-day life, but unable to work together. This elder is capable of making her own decisions and so with our mediation services, we successfully navigated this deeply rooted family conflict that allowed the elder to move to the assisted living of her choice. Our compassionate negotiation made it possible for the elder to maintain a meaningful relationship with her family members.

End of Life Planning

  • After our 76-year-old client had a major stroke and suffered life-altering side effects, her two sons who lived at a huge distance relied on us to provide comprehensive daily updates on her condition.  We collaborated with hospital physicians and case managers to ensure that her advanced directives were honored.  This crisis forced difficult discussions and decisions about her end-of-life care and we continued to provide compassionate support, answers and direction as this family navigated the complicated and disjointed health care system.  Despite attempts by medical providers to persuade the family to pursue life-sustaining measures that were clearly inconsistent with our client’s wishes, we successfully transitioned her to a long-term acute care setting where she was able to receive the comfort care measures the family wanted for her and she was able to pass away peacefully with her family present.