Tag: Care Management

  • When Love Meets Limits: How the Care Management Equity Fund Helps Families Continue Their Journeys

    When Love Meets Limits: How the Care Management Equity Fund Helps Families Continue Their Journeys

    It’s a constant question in the mind of an older adult: Have I made the right financial plan so my needs will be met when I am depending on a fixed income…when I can no longer go out and get an extra job…when my children or extended family have their own financial demands?

    At the same time, the loved ones of an older adult are often faced with a dilemma: the needs of a child and the needs of an older adult are equally important and also very expensive. How does one make a very difficult choice?

    Debbie and Ben faced this challenge.

    The Long Preparation

    For twenty years, Debbie and Ben had been supporting their aunt and uncle — Bob and Sharon — as they navigated the transitions that come with aging. As their only family on the East Coast, they helped plan for continuing care, worked through end-of-life decisions, and stayed as present as they could from 400 miles away. Visits could only happen a few times a year, but they stayed engaged.

    Bob and Sharon had moved into a senior community in Washington, DC, and had done all the planning. When they knew they needed extra support, they went with the recommendation of their Village and decided Seabury’s Care Management was exactly what they needed.

    A Seabury Care Manager helped them coordinate medical appointments and navigate the bureaucracy of the Veteran and Social Security systems. A Life Enrichment Specialist visited weekly to check on the couple’s wellbeing and alert the Care Manager — as well as Debbie and Ben — of any emerging needs.

    Bob & his Life Enrichment Specialist Martha
    Bob & his Care Manager Martha

    For a time, this worked beautifully. Still, nothing fully prepares you for the moment when everything changes.

    The Moment

    Sharon, like many wives, had always been the “executive function” of the duo — the one who organized, planned, and made things happen. Then she needed emergency brain surgery.

    The operation went poorly, and she never recovered her verbal abilities. Within a year she had passed away, and Bob — devoted Bob, who had sat by her side every single day — experienced extreme depression and disengagement with life.

    Suddenly, Debbie and Ben were Sharon’s caregivers, and the challenge was even harder than they had imagined.

    How do you care for someone from 400 miles away? Someone whose cognitive abilities are declining?

    “We were in a position of really caring about Bob, wanting to help him, wanting the best for him, and yet not having a strong mechanism for doing this,” Ben explained.

    This is where many family caregivers find themselves trapped: wanting to do right by someone they love, but confronting very real limitations of time, distance, and resources.

    Martha, Bob’s Seabury Care Manager, and Val, his Life Enrichment Specialist, became advocates, a second set of eyes, and gentle guides who understood both Bob’s needs and the family’s limitations. They weren’t just professional caregivers. They noticed when Bob’s hearing aids needed attention, brought holiday cards, coordinated medical appointments, and showed up consistently week after week.

    With dedicated engagement, Bob was able to recover from his grief, stop taking antidepressants, gain weight, and find moments of happiness.

    Val & Bob
    Bob with his Life Enrichment Specialist Val

    Debbie and Ben credit Martha and Val as essential elements of this recovery.

    But then came a new challenge.

    The Crossroads

    As Bob’s 95th birthday approached and his cognitive abilities continued to decline, Debbie and Ben were faced with a challenge harder than they had imagined. They asked themselves: How much is enough?

    “We had a tough discussion about how much we could keep doing for our uncle,” Ben admitted. The care was working, but some months came at a steep cost. They asked the question not because they didn’t care, but because they cared about many people — their children, a sister, a nephew, and their uncle. They asked it while trying to honor all of those obligations honestly.

    This is where the Seabury Care Management Equity Fund stepped in.

    Created specifically to ensure that financial barriers don’t prevent older adults from receiving the care and support they need, the Equity Fund began subsidizing a portion of Bob’s care costs. Debbie and Ben had been actively thinking about what level of care they could afford to continue.

    “The Equity Fund made it possible for us to continue care for him,” Ben explained.

    The Equity Fund doesn’t just provide financial relief. It provides something equally important: permission. Permission for Debbie and Ben to be the niece and nephew they wanted to be without bankrupting themselves or sacrificing other family obligations. Permission for Bob to continue receiving the weekly visits, the medical advocacy, and the attentive care that helped him maintain dignity as his abilities declined.

    Our Equity Fund

    The Care Management Equity Fund is unique. Funded solely by private giving, it is a beautiful example of a caring community. Bob is fortunate to have the support of a loving niece and nephew who continue to show up for him, even from a distance — but he is also the beneficiary of scores of people who give to the Equity Fund because they believe everyone should be able to age with dignity.

    When asked to describe Seabury in one word, Ben immediately said: “Trust.”

    Debbie added: “Honest. There’s something very real about Seabury. They know what they’re doing and they’re very compassionate.”

    Caregiving isn’t always about being the one who can do it all. Sometimes it’s about finding the support that allows you to keep showing up, keep caring, and keep honoring the people who matter to you. The Care Management Equity Fund is that support — the ally that helps families continue their journey when the path becomes too difficult to travel alone.

    You can donate to the Care Management Equity Fund by clicking the button on our Care Management page or visiting our donation page here: https://donorbox.org/care-management-equity-fund

  • Finding Light in the Wilderness: Bishop Budde’s Journey Through Caregiving

    Finding Light in the Wilderness: Bishop Budde’s Journey Through Caregiving

    A Phone Call Without Warning

    Life rarely announces its pivotal moments in advance. For Rt. Reverend Mariann Edgar Budde, Bishop of the Episcopal Diocese of Washington, that moment arrived without warning—a phone call that would transform her from daughter to care partner in an instant.

    Her mother, fiercely independent and living out of state, had always been a force of her own. She drove herself everywhere, managed her own affairs, and lived alone in her own home. Then came the emergency surgery, the hospital bed, and the long road of rehabilitation stretching ahead like an unmapped wilderness.

    “This wasn’t in my plan,” Bishop Budde confided to her God and her husband, facing a new and complex reality with characteristic honesty.

    A New Reality

    The bishop and her siblings had discussed this possibility before—who would step forward if something happened to Mom. For many reasons, they understood that Bishop Budde would become the primary caregiver. But understanding a future responsibility and suddenly living it are vastly different experiences.

    The hospital became her second home. Questions cascaded from medical staff requiring thoughtful decisions. Choices about rehabilitation facilities demanded careful consideration. After rehab, the even larger question emerged: Where would her mother live to continue receiving the care she needed?

    “There was an unpredictable rhythm of doctor’s appointments,” Bishop Budde recalls, “and an incredible spiritual toll on both my mother and me.” Even for someone who shepherds an entire diocese through life’s challenges, this personal trial required new resources and support.

    Bishop Budde at Gala for the Ages 2024
    Bishop Budde addresses the crowd at 2024 Gala for the Ages, sharing her caregiving journey

    Look for the Helpers

    In this moment of need, Bishop Budde drew on the wisdom of Mr. Rogers: “Look for the helpers.” Through friends who had walked this path before, she discovered Seabury Care Management. She already knew of Seabury Resources for Aging through their collaborative work developing The Path Ahead: Spirituality and Purpose in Later Life™, a “train the trainer” program for faith leaders serving older adults. But now, she would experience their mission from an entirely different perspective.

    What she found was a true partnership. Seabury Care Management operates uniquely across the entire DC region, transcending the boundaries of DC, Maryland, and Virginia to coordinate care across providers, facilities, and jurisdictions. Unlike a hospital social worker whose support typically ends at the door, or government services limited by state lines, Seabury brings institutional knowledge that spans systems and serves clients of all income levels.

    “Seabury’s Care Management was an expert guide throughout the whole process,” Bishop Budde reflects, “and a true companion for both me and my mother.”

    A steady Companion

    The challenges came in waves, but Bishop Budde met them with determination and newfound support. Hospital stays that required constant advocacy. Rehabilitation facilities to evaluate. Communities to visit and assess. Doctor’s appointments that conflicted with the bishop’s demanding schedule of leading a diocese.

    With Seabury’s partnership, she navigated each challenge strategically. When Bishop Budde couldn’t attend a crucial doctor’s appointment, her Care Manager stood in her place, ensuring her mother’s voice was heard. As they searched for the right senior living community after rehab, the Care Manager provided professional insights drawn from years of experience—knowledge no family navigating this for the first time could possess.

    Perhaps most importantly, the Care Manager served as a steady companion through the emotional transitions. For Bishop Budde, it was support balancing her role as care partner with her responsibilities as a spiritual leader and family member. For her mother, it was helping her adapt to a different reality in a new city with different daily rhythms.

    “Nothing else matters if you can’t do this,” Bishop Budde told herself, finding clarity in her priorities. This conviction became her guiding principle. Supporting her mother through this monumental life change, ensuring she received the care she needed—this was paramount.

    You don’t have to do this alone

    Through her journey, she gained important insights: “There are a lot of businesses to navigate and decisions to make. It’s really hard to do this alone. You need a community.” Her words carry the weight of experience and the wisdom of someone who found the right support at the right time.

    Bishop Budde’s experience illuminates the path for others. Seabury’s Care Management serves over 150 clients across the DC region, providing everything from one-time “Roadmap” consultations to intensive crisis navigation to ongoing monitoring for families living far away.

    “Many people we serve have family out of town who feel comforted knowing there is someone who is ‘boots on the ground’ for their parent,” explains Christine Bitzer, LICSW, Director of Care Management at Seabury.

    These Care Managers work directly with clients to help them make informed decisions over their changing lives, managing additional care needs while preserving the highest quality of life, independence, and dignity.

    An Equity Fund For People In Need

    Bishop Budde’s story represents just one thread in Seabury’s larger tapestry of service. As the only Care Management service in the region offering subsidized care through an Equity Fund, Seabury ensures that financial resources never determine whether someone faces aging’s challenges alone.

    “About 20% of our time with families is funded by the Equity Fund,” Christine Bitzer notes. Some clients begin as full-fee and transition to subsidized care as their resources diminish. “Our goal is to make sure no one has to do this alone—we work with clients as best we can, and the Equity Fund helps us continue working with clients often when they need us the most.”

    This commitment to equity, supported entirely through private donations from partners like the John Edward Fowler Memorial Foundation, Christ Church Georgetown, Capitol Hill Community Foundation, Crescent Cities Charities, and countless individual neighbors, ensures that Seabury’s expertise remains accessible to all who need it.

    Bishop Budde’s journey from concerned daughter to empowered care partner illustrates a fundamental truth: With the right support, even the most complex caregiving challenges become manageable. Through Care Management, Seabury Resources for Aging transforms crisis into connection, confusion into clarity, and isolation into community.

    Her story—and the stories of 150 other families served each year—demonstrates that with expert guidance, families can navigate caregiving with grace and confidence. In a region where aging often means navigating complex systems across multiple jurisdictions, Seabury stands as the essential bridge, ensuring that every older adult and their family can access the support, dignity, and compassion they deserve.

    “I have a lot of empathy for families who are entering into care partnering,” Bishop Budde reflects, “and I pray that they get the support they need.”

    Through Seabury’s Care Management, that prayer becomes reality—one family, one journey, one transformed life at a time.

    Learn More

    Want to learn more about Care Management? Visit our Care Management page to learn about resource navigation for you or your family, how Life Enrichment Specialists can help improve the quality of life for older people, and what a donation to the Care Management Equity Fund means for its beneficiaries.

  • Managing the Crisis: How to Be an Effective Advocate in Medical Settings

    Managing the Crisis: How to Be an Effective Advocate in Medical Settings

    Managing The Crisis

    When a loved one faces a medical crisis, the healthcare system can feel overwhelming. But with the right preparation and knowledge, you can be a powerful advocate—whether for yourself or someone you care about.

    Here are some key takeaways to help you prepare.

    Understanding What Constitutes a Crisis

    A crisis isn’t just an emergency—it’s a turning point. It happens when what you’ve been doing isn’t working anymore, when needs become high (physically, emotionally, or logistically), and when safety becomes a concern. The key is to prevent a crisis from becoming chronic by getting professional help early.

    Prepare Before the Crisis Hits

    The most effective advocacy begins before an emergency. Create a “go bag” with essential information:

    • Current medication list
    • Doctor contact information
    • Diagnoses and health history
    • Emergency contacts
    • Copies of advance directives and power of attorney documents
    • MOLST (Medical Orders for Life-Sustaining Treatment) if applicable

    Make sure trusted family members or friends have access to this information and that your healthcare providers have copies of your advance directives on file.

    Know Your Role as an Advocate

    Effective advocates wear many hats. They navigate the healthcare system, maintain contact with medical staff, keep detailed notes of medical visits, communicate the patient’s needs and cultural considerations, and coordinate support from friends and family. If designated, they may also act as a healthcare agent.

    But advocacy goes beyond logistics—it’s about providing comfort, reducing medical errors, and ensuring the patient’s voice is heard.

    Navigate Common Crisis Scenarios

    The Hospital Stay: Be prepared with medication lists and health information. Hospital discharges can happen quickly, often on Fridays. If you disagree with a discharge decision, know that you can contact an ombudsman or file an appeal.

    The Rehab Transition: Understand your options and what insurance covers. Consider proximity to family and access to long-term care Medicaid if needed. Don’t hesitate to ask questions about the recommended facility.

    Coming Home: Returning home may require durable medical equipment, home modifications, 24-hour care, and follow-up appointments. Start coordinating these needs before discharge to ensure a smooth transition.

    Educate Yourself

    Learn about diagnoses, treatment options, and what insurance covers. Connect with support groups and diagnosis-related organizations like the Parkinson’s Foundation or Alzheimer’s Association. Understanding the trajectory of an illness helps you plan for what’s ahead.

    Recalibrate After the Crisis

    Once the immediate crisis passes, take time to assess the new normal. What risks need to be mitigated? What acceptance needs to happen? This recalibration is essential for moving forward with realistic expectations and appropriate support.

    Watch the Full Webinar

    These highlights only scratch the surface of practical wisdom. For a deeper resource, watch the complete webinar “Managing the Crisis: How to Advocate for Yourself in a Medical Setting” to hear Director of Care Management, Christine Bitzer, walk through detailed scenarios, answer common questions, and provide the tools you need to advocate effectively in medical settings.

    Seabury Care Management has been helping older adults and their families navigate exactly these situations since 1996. If you need support coordinating care or advocacy, contact us at 202-364-0020 or visit www.SeaburyResources.org/CareManagement.

  • What Is an Aging Life Care Manager? The Support Your Family Needs

    What Is an Aging Life Care Manager? The Support Your Family Needs

    What Is an Aging Life Care Manager? The Support Your Family Needs.

    If you’re reading this, you’re probably in the middle of something overwhelming. Maybe your parent just had emergency surgery. Maybe you’re trying to coordinate hospital discharge, rehab facilities, and home care across DC, Maryland, and Virginia—and you’re realizing you have no idea how to navigate any of it. You’re not alone, and there’s help you probably didn’t know existed.

    The Service Most Families Don’t Know They Need (Until They Really Need It)

    When we think about care for aging parents, most of us know two options: staying at home with some help, or moving to assisted living. But there’s a whole category of professional support that exists between those choices—one that can make the difference between managing a health crisis and being overwhelmed by it.

    It’s called Care Management, and if you’ve never heard of it, you’re in good company. Most families discover this service only when they’re in the middle of a crisis: a sudden hospitalization, a fall, or that moment when you realize that being good at your job doesn’t prepare you for navigating the healthcare system for someone you love.

    So What Exactly Is an Aging Life Care Manager?

    An Aging Life Care Manager is a professional expert in aging well—typically a social worker, nurse, or gerontologist with specialized training in helping older adults and their families navigate the complex systems of aging. Think of them as a combination of advocate, coordinator, problem-solver, and guide who helps you make sense of everything from hospital decisions to insurance coverage to finding the right support services in your area.

    What They Actually Do

    The role goes far beyond what a hospital social worker or home health aide provides. Here’s what makes care management different:

    They build a real relationship. This isn’t a one-time consultation or someone who shows up only during crises. Care Managers take time to understand your family member as a whole person—their values, their goals, what matters most to them. They get to know the family dynamics too, because effective care coordination means working with everyone involved.

    They see the complete picture. Instead of focusing on just medical needs or just housing or just daily care, Care Managers conduct comprehensive assessments that look at everything: health, safety, finances, legal documents, family support, emotional wellbeing, social connections, and future planning. Then they create a care plan that addresses all of it in a coordinated way.

    They become your boots on the ground. When you can’t be there—or when you’re there but don’t know what to ask or what to do—the Care Manager is on-site, in the hospital room, at the rehab facility, in your parent’s home. They’re the person making sure things actually happen and catching problems before they become crises.

    They translate the chaos into clarity. The healthcare system wasn’t designed to be easy to navigate. Care Managers help you figure out how the pieces fit together—what questions to ask doctors, which insurance will cover what, how to get from hospital to rehab to home without gaps in care. They take complex situations and help you understand your options in plain language.

    They coordinate everyone and everything. Between doctors, specialists, therapists, home health aides, insurance companies, family members, and maybe services across DC, Maryland, and Virginia—there are a lot of people involved in one person’s care. The Care Manager is the central coordinator who makes sure everyone has the information they need and nothing falls through the cracks.

    They stay with you over time. Unlike emergency services that disappear after the immediate crisis, Care Managers provide continuity. They’re there for the next health change, the next difficult decision, the next unexpected challenge. They monitor how things are going, adjust the care plan as needs evolve, and remain your steady partner through all the transitions aging brings.

    A client talking to their Care Manager

    Eight Areas Where Care Managers Make a Difference

    Aging Life Care Managers bring expertise in eight critical areas:

    1. Crisis Intervention – Being the “boots on the ground” when decisions need to be made fast
    2. Health & Disability – Navigating doctors, medications, equipment, and changing abilities
    3. Financial Planning – Understanding costs, finding alternatives, connecting with financial planners
    4. Legal Matters – Ensuring documents are in place, finding elder law attorneys, navigating guardianship
    5. Housing Decisions – Counseling about aging in place or higher levels of care when needed
    6. Family Dynamics – Supporting both the older adult and family caregivers through difficult conversations
    7. Local Resources – Knowing what’s available across DC, Maryland, and Virginia
    8. Advocacy – Speaking up for your family member in every setting

    Why Families Choose Care Management

    The benefits go beyond just having someone who knows the system:

    • You save time trying to research providers and coordinate between systems
    • You avoid costly mistakes like improper placements or duplicate services that drain resources
    • You reduce caregiver burnout by having a professional partner who shares the load
    • You get personalized care that respects your family member’s unique needs and values
    • You have expert guidance for decisions you’ve never had to make before
    • You maintain quality of life by keeping the focus on what matters most to your family

    One more thing: Seabury’s Care Managers can also connect you with Life Enrichment Specialists who focus specifically on addressing loneliness and isolation through meaningful activities, outings, and companionship.

    Client with their Life Enrichment Specialist
    Seabury Care Management client with their Life Enrichment Specialist

    When Do Families Reach Out?

    Most families contact care management when:

    • A sudden hospitalization creates a cascade of complex decisions
    • Chronic health conditions reach a crisis point
    • A spouse or primary caregiver dies and it’s clear more support is needed
    • Adult children—especially those who live out of town—visit and realize how much their parent is struggling
    • A capable, accomplished person realizes that navigating aging care requires different expertise than what made them successful in their career

    Does any of this sound familiar?

    What to Look for in a Care Manager

    If you’re considering Care Management, here are key questions to ask:

    • What’s their professional background and training?
    • Are they affiliated with professional organizations like the Aging Life Care Association?
    • What’s their knowledge of local resources across the DC metro area?
    • How do they handle after-hours emergencies?
    • What’s their approach to building relationships with clients and families?
    • How do they communicate and how often?
    • Do they serve clients across different income levels?

    At Seabury Resources for Aging®, Care Management has been a core service since 1996. Our Care Managers are professionals who bring both expertise and genuine care to every client relationship. We also maintain an Equity Fund to ensure that families with limited income and savings can access care management support, because we believe everyone deserves help navigating life’s challenges.

    Learn More: Watch Our Recent Webinar “What is Care Management?”

    If you want to dive deeper into what Care Management really looks like and how it can help your family, we recently hosted a webinar that walks through everything from crisis intervention to coordinating services across the region.

    The webinar covers real scenarios, answers common questions, and gives you a clear picture of how care management works in practice.

    Ready to Talk?

    If you’re in the middle of a crisis—or trying to plan ahead so you’re not—we’re here to help. Seabury Care Management serves older adults and families throughout the DC metro area with personalized, coordinated support.

    You don’t have to figure this out alone. There’s a service designed specifically for what you’re going through—and now you know it exists.


    Seabury Resources for Aging has been helping older adults in the Greater Washington DC area live with independence and dignity for over 100 years. Learn more about our programs.

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