Tides of Change:

“There may be a little water in the basement,” confided Roger, en route to the hospital for a long overdue review of his psychiatric medications.

A little water, indeed.

What we discovered in Roger’s basement was three feet of water, much of which was gushing from a dysfunctional water heater. An influx of rain water had rusted out the water heater’s base, causing the unit to desperately try to refill its empty tank.

Furniture and other household items bobbed in the water like ice cubes in a punch bowl. Sewage swirled through the water, too.  Read More..

“We Thought She Was Sleeping”

The sisters had lived with their mother for most of their adult lives.

Sadly, for at least five days of this timespan, their mother was dead.

Marge and Annie stayed in the home with their mother’s body until police made this discovery during a wellness check.  They may well have suspected she was dead but feared, perhaps, that reporting such a thing would lead to some kind of trouble for them.  It’s possible they didn’t know how, or to whom, a death might be reported.  It’s also possible that the idea of their mother’s death was too much for them to process so they willfully convinced themselves she was sleeping.  Read more…

Obese, Psychotic and Immobile: How Out-of-the-Box Thinking Led to Out-of-the-Bed Placement

In clinical circles, Maria might be called “complex.” Maria has cerebral palsy and developmental delay. At the tender age of 32 she is obese. She has gastro esophageal reflux disease (GERD) and a stomach tumor. She has the additional psychiatric diagnosis of schizoaffective disorder and bipolar disorder with active psychosis and incidents of agitation. When Maria, in one such incidence of agitation, struck the Director of Nursing at her facility, this assemblage of diagnoses became even more acutely problematic. Maria needed to be placed anew…but what one community could manage this collection of needs and the very real person who harbors them? Read more…

Developmentally Disabled and Alone

Lifecare Innovations met Hal when he was 54 years old.  Hal had lived with his parents until he was well into his forties. When both of his parents passed away, Hal was forced to move out of his parents’ stable, middle-class home for the first time in his life. When Hal was born he had a deformity in his brain that caused seizures and left him in a coma for many weeks as an infant.  Later, as a youth and young adult, Hal suffered from learning problems, socialization problems, and a wide variety of challenges that commonly accompany those with developmental disabilities. Read more…

Insurance Coverage Denied For Cochlear Implant Surgery

A 56-year-old woman came to Lifecare Innovations, Inc. (LCI) for assistance with a difficult insurance issue.  Her insurance company had recently denied her coverage for a much-needed cochlear implant surgery, basing their denial on the false impression that cochlear implants are hearing aids. Read more…

Miles from Home

Frank and Esther had been our clients over 10 years.  They both had multiple medical problems and they utilized LCI to assist in obtaining second opinions, reviewing medical bills, and finding rehabilitation options.  They had always been the perfect clients, seeking advice when issues arose and then following the advice.  We helped them maintain their independence as they managed two cancer diagnoses, kidney failure, sleep apnea and more. Read more…

Stabilizing Chaos with a Life Coach

M. is a 49 year old male.  He is currently residing independently in an apartment in Chicago.  Lifecare Innovations, Inc. (LCI) has been providing Lifecare Management services to M.  since July 2007.  M. has a developmental disability and also appears to have a significant history of depression and anxiety.  Previously, M. managed to live in the community and manage his own affairs.  He was employed as a janitor for over 25 years, was married, drove independently, and ran a household.  His now deceased father provided him with the monitoring and direction he needed to maintain his quality of life.  This “coaching” he received from his father was essential in his ability to be successful in the community.  Read more…

The Value of Care: A Daughter’s Custodial Claim

Related to Margot Gordon’s insightful article above, we offer the following case study from our own files.  This story illustrates the sacrifices made by the adult daughter of a man afflicted with progressive dementia, and the legal course she pursued after his death to seek compensation for the services she offered during his life.  Read more…

Managing the Alzheimers Tsumnami

Jack was an 83-year-old, recently widowed male living in his large, isolated home with 12-hour caregiver services when LCI first began working with him in the winter of 2006. Jack’s wife, also a client of LCI before her death, asked us to promise that we would continue to care for her husband after her death, having herself noticed his increasing cognitive deficits. Jack’s Health Care Power of Attorney and LCI agreed and obliged. LCI observed increasing safety issues in Jack’s multi-level home and advocated for him to move into an assisted living apartment.  Jack was successfully placed in a nearby facility where he could meet new friends and enjoy a more active, social environment. Using our Surround Care™ model, which features a variety of services designed to offer customized care for the specific needs of each client, LCI then assisted with the management of his home.  Read More…

Surround Care™ In Action

Lisa is an 89-year-old female who had been living alone in her one bedroom apartment on the north side of Chicago. She was referred to Lifecare Innovations (LCI) by her attorney due to her increasing memory deficits and concerns for her safety in the community.  She has dementia with significant short- and long-term memory loss.  Lisa was an only child and, after her parents passed away, the only family she had was three second cousins with whom she had very little contact .  Lisa had the option to continue to live in her home with the assistance of a caregiver to help with safety, medication oversight, and all activities of daily living.  Lisa, however, had expressed a desire to leave her home of 35 years with the goal of moving to an assisted living facility.  LCI quickly developed a care plan that encompassed all of Lisa’s needs using our Surround Care™ model.  Surround Care™ allows for the development of a unique, multi-faceted plan that encompasses all of an individual’s care needs, essentially surrounding them with the services they need to remain safe and supported.  Read More…

The Cost of Independence

Robert is a 52-year-old male.  He is reported to have a developmental disability which causes him to struggle with processing information, using appropriate social skills and understanding abstract concepts.  He also has a history of depression, anxiety and alcohol abuse.  Upon further assessment of his medical and psychiatric history, LCI discovered that Robert had also had acute psychotic episodes, had been treated for alcoholism and been diagnosed with schizophrenia many years prior. Given Robert’s clinical deficits, his relationship with his father, his only living family member, was tenuous at best.  Read More…