Courtney's Case History

Support Services:

Rehabilitation Support

Housekeeping

Medical Supplies

Case Management

Respite

Family Communications

Personal Assistance

Household Installations

Security Check-ins

Medical History Documentation

Medications Planning & Tracking

Appointment Tracking

Intake Story
Courtney attended a BCS "Planning for Independence" workshop given at a local Adult Community Center as he was anticipating the return of his wife of 50+ years, Barbara. Barbara was soon to be released home from a rehabilitation facility where she was on the journey of recovery from a partial hip replacement surgery she required because of a fall. Courtney, her 90 year-old husband and primary caregiver, has his own history of heart disease and attendant struggles with hearing loss and other age-related ailments. Barbara would be ambulatory only with a walker and require intensive assistance with her on-going physical and occupational therapy during her first few weeks and beyond at home. They live with one itinerant middle-aged son in the same home they have for the last 25 years, a spacious 4-bedroom, 3-story home on several acres requiring typical upkeep. Barbara needed rehabilitation; Courtney could help, but needs respite.

Medical Documentation and Tracking - Rehabilitation Support - Respite
The combined medicines prescribed daily for Barbara and Courtney numbered over 15. Courtney kept careful track, but to an uninitiated observer, there appeared to be medications stocked on every kitchen shelf. BCS assisted organizing the separate pill containers, clearing and designating a medication area, disposing of dated medications, and preparing a medication chart which, to this day, is current. BCS also assisted Courtney in tracking and calendaring the numerous - sometimes over seven appointments in a week - doctor and other test and therapy appointments required for both Barbara and Courtney. BCS also prepared a complete medical and social history report for Barbara and Courtney for use by other practicioners. BCS routinely prepares and distributes updates via e-mail on Barbara's progress and Courtney's health to two daughters who reside out of town.

BCS worked initially 5-6 days a week during the first two months of Barbara's return home. During that period, BCS provided Barbara's daily therapy session(s) and oversaw the outfitting of the house to better suit her needs. This included the installation of grab bars, bathroom fittings, bedside rails and commodes, and the planning and rearrangement of household furnishings to suit the new conditions. In addition to the oversight of Courtney's administration of Barbara's complex medications routine, BCS provided encouragement as Barbara was motivated to improve until the family elected three day a week assistance and respite.

Courtney required only minimal assistance with his medications and doctor's appointments. However, on the days when BCS was present, he was able to take more time for himself away from the continuous planning, organization, household chores, and general rehabilitation assistance Barbara required to thrive. Courtney was also able to schedule and keep appointments for his unattended health needs secure that Barbara was well attended at home.