The document discusses the services provided by Geriatric Care Manager Linda Recinos and her company Infinity Care Management, which offers in-home care, care coordination, medication management, and assistive technologies to help seniors live independently and safely in their own homes. Infinity Care Management utilizes assessments, care planning, care oversight, and communication with families to support the well-being, dignity, and independence of older adults. The company provides an array of services and products tailored to each client's individual needs and circumstances.

1. GERIATRIC CARE MANAGEMENT
Linda Recinos, RN, BSN, GCM
Owner & President, Infinity Care Management
Serving the Greater Lynchburg, VA
Community and the surrounding
Counties of Amherst,
Appomattox, Bedford, & Campbell
www.infinitycare.org

2. Current
Situation
• America is graying and graying fast. By 2030, 1
of 5 people in the U.S. will be over the age of 65.
• Elders are living longer and as they age, they
need increased assistance – 50% of those over
85 need support and assistance.
• About 40 million Americans provide unpaid family
care to someone over the age of 50 (1 out of 6
Americans is involved in providing care).
Source: MetLife Caregiver Study

3. The Geriatric Care Manager
The Geriatric Care Manager
(GCM) is focused on
maintaining the well-
being, independence and
dignity of elders and dependent
adults, while balancing the
special needs and problems of
families caring for them. Linda
is a GCM and a registered
nurse with 24 years of
experience with 19 of those
Linda Recinos, RN, BSN
years specializing in geriatric
patient care!

4. GCMs Positively Impact
Quality of life…
Geriatric Care Manager Nurses can provide…
• Objective assessments & care planning
• Screen/Arrange/Supervise in-home care
• Skilled nursing care; injections, dressings, blood
pressure monitoring, disease mgmt education
• A single point of access to the range of eldercare
options
• Medication management & teaching
• Liaison service for families at a distance
• Consumer education, advocacy, and promotion of
independence
• Time and money saving expertise
• Nutrition & diet compliance education & support

5. A PROFESSIONAL PROCESS:
With a focus on understanding
UNDERSTANDING: Assessment
PLANNING: Customized Plan of Care
MANAGING Part I: Implementing Needed Services
MANAGING Part II: Follow-up/Monitoring
On-Going Re-Assessment

6. Who are Infinity Care
Management Clients?
OLDER ADULTS AND ADULTS WITH SPECIAL NEEDS
• Adults who could benefit from professional oversight and care
• Family members who could benefit from support and guidance
• Older adults who want to remain living in their own homes
• Dependent Adults whose spouse needs a break
• Developmentally Disabled Adults
• Psychiatrically Impaired Adults

7. Case Study
Client Example
76 years
Alzheimer's Disease (chronic condition)
PROFILE: Lives at home
Husband, 78 years old
3 adult children living at a distance
SITUATION:
• Miserable experience with paid caregivers in past
• Husband increasingly overwhelmed
• Each child is getting conflicting information
• Ambivalence around placement - feels “guilty”
• Needs help and guidance but reluctant to ask
• Increased social isolation
• Adequate finances & LTC insurance covers care needs
• Medication compliance is fragmented: schedule is
difficult to follow
• Everyone feels stuck

8. Interventions
• Initial assessment & consultation with nurse GCM
• Conference call with all children and parents outlining
needs, preferences, and cost-effective options
• Secured commitment of all involved in process to the
customized plan of care
• Initiated intermittent in-home care for the client as a
means of respite -- matched caregiver and set up
monitoring schedule via home visits
• Day Care = socialization for wife / respite for husband
• Medication device in place; nurse filling it every week
• Set up a means for regular communication for family
members

9. Results
• The client is getting the care & support she needs
• Husband can be a partner again; he takes daily walks &
sees some of his old friends for breakfast 1x week
• Nurse GCM addresses any problems resulting from
having care in the home – relief for husband
• Nurse GCM overseeing meds & orders refills on time;
client gets correct meds every day – husband relieved
• As situation progresses, greater peace of mind for all
that there is a professional advocate that will stand by
them to help them through the process

10. CARE MANAGEMENT:
A Distinctive model
• Proactive approach
• Professionally led decision-
making
• Recommendations reflect
balance of assessed needs
with values and preferences
• “Whole family” / “whole
person” approach
• Improved communication with
all involved

11. When to Call a Nurse GCM?
• Family is out of town and/or only limited social
support is available to the client
• Need support and resources to maintain
independence
• Caregiver(s) overwhelmed/stressed out
• Multiple diagnoses/difficult situations, complicated
decision-making and care coordination
• Patient and/or involved family need a „road map‟
after new diagnosis or hospitalization
• Family facing nursing home decision but feeling
guilty and wants other alternative
• Client high risk for falls, ER visits, or med errors

12. When to Call a PGCM? (cont’d)
• Family members disagree about next step;
need information and objectivity
• Struggling with balancing safety and
independence
• Needing consistent unbiased, accurate
communications
• Existing caregivers require supervision and
ongoing training
• Non-compliant behaviors with meds or diet
• Driving incompetency present; driving risk

13. When to Call a PGCM? (cont’d)
• Lives alone & has balance or cognitive issues
• Main caregiver going on vacation or out of town
• No longer able to self-inject insulin or needs
regular allergy or vitamin B-12 injections
• Client is vulnerable to elder fraud or has been a
victim already
• Poor appetite, malnutrition, irregular meals or
unplanned weight loss
• Social isolation or depression symptoms present
• Clutter & junk accummulation has become a fire
hazard or falls risk

14. Services that Help Keep Senior Adults Living at Home
Infinity Care Management of Virginia provides a variety of services in addition to
unique & helpful products to assist senior adults to age gracefully in their own
homes for as long as they wish while maintaining their safety, well-being, and
independence.
 Over 10 different kinds of assessments
 Computerized Medication Dispenser Rentals
 Emergency Help System with 2-way Voice Communication
 TeleCare Phone Outreach Service
 Mental Status Screenings
 Home management; Bill paying, home repairs, groceries

15. TeleCare Phone Outreach Services
“TeleCare” is a phone outreach service for patients who need a little monitoring to make sure
everything is going smoothly with them. The client is called on designated days and are asked
10 key questions about how they are getting along for that day. The client's answers to those
questions determine if there are any "yellow or red flags" present that could be a potential harm
or negative consequence to them. The "yellow or red flag" information is then scrutinized a little
more in order to determine if a home visit is needed for further investigation. The designated
family member is then notified with all information.
• Proactive calls can help ward off a crisis, ER visit, or a hospitalization
• Proactive calls are less costly, less disruptive and easier than reactive
interventions
• Ideal for clients with cognitive deficits, memory loss, or beginning
Alzheimer's
• Can be used as stand alone service or with other services
• Available 1 day/week to 7 days/week or as requested

16. Emergency Help System with 2-way Voice Unit
The Emergency Help System or “EHS” is a personal emergency response system
with 2-way voice communication that makes live help just the push of a button
away. Installation of the unit base will connect your parent or loved one to a "live
person" at the emergency response center by pushing a single “ help” button on
the main transmitter unit. In addition there is the remote “help” button that is
carried with them on their belt, pocket, on a chain around their neck, or on their
wrist for that 24/7 availability of help. This life saving unit is rented monthly and is
connected to the patient's telephone system for continuous peace of mind service.
• Ideal for clients with a history of falls or unstable balance
• Great for clients who live alone and have minimal support help
• Quick response time to local emergency services;
police, fire, paramedics
• Low monthly rate plus installation fee

17. Computerized Medication Device - CMD
The Computerized Medication Dispenser “CMD” is a safe, convenient and
automated solution that organizes, reminds and dispenses medications so pills are
taken properly and on-time. The event reporting features make it a true cutting
edge device that improves medication adherence and reduces the risk of missed
and dosing errors. Reports are immediately generated to the family and/or the
nurse so phone follow up can determine if a home visit is needed to take care of an
issue. This unit can be installed and rented monthly with the services of the nurse
filling the medications regularly or with the family filling the unit with medications
for the patient instead. Nursing management services in conjunction with this CMD
rental, provide a complete stress-free and hassle-free experience for your parent
giving you peace of mind that their medications are under good control..
• Visual AND sound alarms alert client when to take medications
• Supports independent living for clients who get easily confused or
overwhelmed
• Increases medication compliance immediately

18. What Can I Do to Get Started?
Please visit the Infinity Care Management website and click on the “Services”
page as well as the “Additional Services” page for more information on how
to make your senior loved one safe and happy at home.
OR CALL
TODAY
(434) 237-1975