Mrs. M is an 85-year-old wealthy widow with one son who does not live nearby. Several years earlier, Mr. and Mrs. M moved into a private cottage inside a retirement community. Now that Mr. M has died, Mrs. M has expressed the desire to remain in her home.

The retirement community informed the widow and her trust officer that she had to move out of her cottage and into assisted living because of her inability to function independently. This case was referred to IKOR to assess Mrs. M’s potential to age in place.

IKOR Approach

IKOR, offering Advocacy without CompromiseSM, was able to independently assess the situation and determine the facility had withheld private knowledge. If Mrs. M moved out of her cottage, along with losing her independence, Mrs. M would lose the greater portion, if not all, of the $200,000 she and her husband had paid for their home. The facility could then resell Mrs. M’s cottage, and the proceeds would go to the institutional community. If Mrs. M were able to safely remain in her home, she would have her wish to age in place. Her son, through her estate, would retain the entire value of the cottage.

Based upon the IKOR assessment, the RN Patient Advocate was able to determine that aging in place was possible. The Patient Advocate found that Mrs. M had a significant hearing loss which had not been addressed. The RN Patient Advocate coordinated a full hearing analysis and the implementation of hearing aids. The nurse also expedited the receipt of new eyeglasses that Mrs. M had ordered but had not received.

To address moment-to-moment care, the IKOR Registered Nurse-coordinated 24-hour-a-day companion care in the home. IKOR secured services that would help Mrs. M with her physical care, preparation of meals, and transportation to meet friends and to doctor’s appointments.

Case Outcome

The companion care is currently being monitored by the case management RN. The IKOR nurse also maintains communication with Mrs. M’s treating physician with respect to medication and treatment. IKOR has implemented medication and disposable goods through a service which resulted in substantial savings for Mrs. M as compared to the pharmacy previously used.

Mrs. M continues to age in place at an average monthly cost of $4,000 including the costs of IKOR’s continuing intervention. If Mrs. M were to be placed into a skilled care facility to meet the same needs, she would be spending a minimum of $4,500 plus paying an additional fee (often at a 50% increase) for medication and disposable goods. The client and ultimately her son were able to also save the cottage investment of $200,000.