Aging & Dementia
Their physicians lead the medicine.
Who holds the home together?
Usually one person: a spouse, a son or daughter three time zones away, or a brother or sister past seventy themselves. Accessum takes on the work of keeping home running. The decisions stay with the family.
Start a conversationIn-home support in Colorado. A registered nurse responds within a day.
The one who carries it
Right now, home runs on one person.
Between appointments, the person you love is no one’s patient. The work falls to whoever is closest, and no one decided it should.
The same question, answered for the twelfth time before lunch.
Which pharmacy has the refill, and which neighbor can sit for an hour.
The late afternoons, and a day planned around them.
The evening call, where everything is fine.
How home often works today
appointmentsYoumedicationsYoudaily routinesYouschedulesYou
One person, on top of their own life.
With Accessum
appointmentsAccessum nursemedicationsAccessum nursedaily routinesHousehold coordinatorschedulesHousehold coordinator
Your time is yours to spend with them.
Why home
Home is worth protecting.
Dementia is measured in years. Where those years are lived shapes how they go.
Familiar rooms, routines, and faces carry much of a day that memory no longer can. Home deserves a serious look before it is ruled out.
The marketplace pays for the visit, the facility, or the hours. Designing life at home, and keeping it working, is left to the family.
Medicare does not pay for long-term custodial care, at home or in a facility. Accessum sets out the costs of home plainly before anything begins.Medicare.gov
In the MIND at Home pilot trial at Johns Hopkins, coordinated support at home delayed moves out of the home for people with memory disorders. Accessum’s program is its own, and it promises the work, not a result.Samus et al., American Journal of Geriatric Psychiatry, 2014
The goal is not only to stay home. It is to make home work.
Ongoing support at home
The whole household, professionally run.
Accessum runs the household day to day, manages the medications, and keeps one written plan with the family. As needs change, the support changes with them, and the family directs all of it.
An agency fills the hours, often with a different face each week. A care manager advises and arranges. Accessum does the work, keeps the plan, and answers for both.
The same person, every week
Household coordinators are Accessum employees, and the same one comes each week. Noticing change, and helping with something as private as dressing, takes someone who knows the person. Where an agency staffs some hours, Accessum works with it on one plan.
Every day, and when it counts
Support is daily, in hours the family sets, not around the clock. When a stretch calls for overnight help, Accessum arranges it.
One call when something goes wrong
The family makes one call. Accessum finds out what happened, decides with the family what changes, and puts in writing who does it and by when.
The caregiver too
Accessum can manage the caregiver’s own healthcare too, with a nurse navigator for both. Family who live away hear from Accessum when something changes.
Accessum bills by the hour, recorded to the minute, and accounts to the family each month for what was done and what it cost.
The five sides of home
A home that works holds on five sides at once.
Families usually find each side one at a time, when it gives way. Accessum builds all five together and names who holds each one.
Select a side of home
Home no longer depends on one person.
Where it gives way
Home runs only as long as the main caregiver stays well. That person will need a day off, or a week in bed.
How it holds
Household coordinators run the house: groceries, meals, light housekeeping, and help with dressing and hygiene as needs grow. Backup is planned before it is needed.
Who does the workHousehold coordinatorAccessum nurseFamily
The house supports the day instead of fighting it.
Where it gives way
A stair, a bathroom, and a dark hallway at night become risks the family quietly learns to work around.
How it holds
An occupational therapist visits and adapts the home, room by room, as needs change.
Who does the workOccupational therapistAccessum nurseFamily
Written down once, not carried in someone’s head.
Where it gives way
Every handoff starts over: the new helper, the emergency room, the physician meeting them for the first time.
How it holds
A registered nurse keeps one current record: medications, physicians, routines, what calms them, and the legal documents.
Who does the workAccessum nurseTheir physicians
Every next step has a name and a date.
Where it gives way
The appointment ends, the referral is mentioned, and three weeks later no one has called.
How it holds
An Accessum nurse manages medications and sees that refills are ordered on time. Accessum schedules every appointment and referral and follows each one through.
Who does the workAccessum nurseHousehold coordinatorFamily
Decided in the living room, not a hospital hallway.
Where it gives way
Change arrives as a crisis, and the largest decisions are made in a hurry, by whoever is there.
How it holds
Accessum writes the turning points with the family and their physicians: if this happens, then this. Household coordinators are trained to notice change, and what they see goes into the plan. Needing more help is never a failure.
Who does the workAccessum nurseHousehold coordinatorFamily
You stay family. The work around it is ours.
The Home Assessment
What does aging safely at home actually take?
Most families have never been shown.
A nurse and an occupational therapist spend time in the home with the person and the family, and tell the family plainly what it requires, even when the answer is another setting. It is never a condition of starting.
Before it, everyone helps. After it, every part of home has a name beside it.
Where to begin
Some families need help now. Others need a roadmap first.
Either way, it starts with one question: what do you want home to make possible in the years ahead?
What the family keeps, whether or not Accessum stays on
- The roadmap
- Where things stand, and the turning points agreed.
- The home plan
- Room by room, from the occupational therapist.
- One record
- Medications, physicians, and legal documents.
- Emergency guide
- What to do, and whom to call, in the first hours.
One relationship
The same team, from the first visit on.
Aging & Dementia is part of Professional Healthcare Management: one team, one written strategy, and a monthly account of the work and its cost. Answerable to you. Accessum’s nurse practitioners can also see the person at home, as an option alongside their own physicians.
Professional Healthcare Management
Is all of your healthcare being professionally managed?
Until now, there was no one to hire. Now there is.
Tell us what you are planning for, or what has already changed. A registered nurse responds within a day and sets out the work and how it is billed, in writing, before anything begins.
Start a conversationOr write to info@accessumhealth.com, or call (303) 491-0212.
Management is available nationwide. Nursing, home assessments, and in‑home support are in Colorado, and Accessum’s nurses can travel with you to specialists. In an emergency, call 911.