How To Find A Geriatric Care Manager - Video of Interview on Business Week - August 5, 2009

Help for Families with Aging Parents.
Whether they are nurses, social workers--or both--geriatric care managers help busy or far-flung families navigate the tricky landscape of elder care

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Click on Titles from list below to read articles.
> WOW! Working Women of Westchester
> Caring for Aging Parents & Ensuring Your Peace of Mind - By Loren Gilberg, RN, BSW, MBA
> Geriatric Care Managers : Great at Multi-Tasking - By Bill Bookman
> Geriatric Care Management: A Growing Industry - By Joan Stableford
> Geriatric Care Managers Save Lives & Money - By Arthur Pilson and Loren Gilberg, RN, BSW, MBA
> Grandparent's Day
> Do I Have Alzheimer's Disease?
> Gray Matters: Care Managers Can Help Guide the Old and Alone - By Saul Friedman
> Seniors Care: Another Helpful Resource - By Joy Victory
> The Golden Years: Elder Care Expert Gilberg Offers Help for Seniors - By Laurie Sullivan
Loren Gilberg discusses ECC with
News 12 Westchester's Lisa LaRocca
In December 2002

Loren Gilberg, of the Elder Care Consulting Inc., helps families cope with geriatric care.

Geriatric-Care Management a Growing Industry

By Joan Stableford - July 4, 2005

The field of geriatric-care management may have been around for at least 20 years, but the need for it continues to increase.
"Until people need a geriatric-care manager (GCM), they are often unaware of what we do and how we can help them," said Loren Gilberg of the Elder Care Consulting Inc. in White Plains.
The need for help with an aging, chronically ill parent has become more urgent since the advent and norm of two-paycheck families. A 1998 study by the Gerontologist revealed that 49 percent of all baby boomer women caregivers suffer financial hardship as a result of their taking care of an elderly ill relative. The study found that many of these women end up very stressed and often suffer from depression as a result even when a couple shares in the responsibility and care of their aging parent.

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Wow! Working Women of Westchester.

March 31, 2008

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Every September, we remember Grandparents with their “special day.” However, we must question whether we devote appropriate time and concern to these seniors during the rest of the year.

Today, people live longer. Securing optimal care for them becomes more complex.

How do you wade through benefits for seniors and coordinate their doctors to ensure they work as a team?  How do you aid parents in making the difficult call of when to stay at home and when to move to a senior community?  Our “sandwich generation,” may feel overwhelmed.  

The public needs to know that there are professionals uniquely trained and equipped to help them and their loved ones. I am a geriatric care manager and proud to belong to The National Association of Geriatric Care Managers. We provide assessment, information and comprehensive services, so stressed families can make smart decisions for their loved ones.

Our children are looking to us to blaze the path ahead. How we treat their grandparents, will in large part determine how they treat us in our “golden years.”

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Do I Have Alzheimer’s Disease?

From time to time, we all have moments of forgetfulness.  Distinguishing normal forgetful moments from early onset of Alzheimer’s Disease (AD) or Mild Cognitive Impairment is sometimes difficult.  The following ten warning signs, as established by the Alzheimer’s Association, is a suggested guideline for whether or not further evaluation may be necessary.

Ten Warning Signs of AD

1.     Memory loss
2.     Difficulty performing familiar tasks
3.     Problems with language
4.     Disorientation about time and place
5.     Poor or decreased judgment
6.     Problems with abstract thinking
7.     Misplacing things
8.     Changes in mood or behavior
9.     Changes in personality
10.  Loss of initiative

Evaluation sites, such as Burke Medical Research Institute in White Plains, NY, offer comprehensive diagnostic and treatment methods for AD.  The following is typically included in these programs:
·      Thorough medical history of the person with symptoms of Alzheimer’s as well as family members
·      Assessment of the person’s mental status
·      MRI (pinpoints AD in early stages)
·      Thorough physical exam
·      Neurological exam
·      Series of lab tests
·      Psychological and other exams

Prevention & Slowing Progression

Currently there is no proven way to prevent, cure, or reverse AD.  Treatment focuses on slowing down the progression, managing the behavior problems (confusion & agitation), modifying the home environment, and most importantly, supporting the family.  As the disease progresses, it may take a greater toll on the family than on the patient.  Medications commony used to treat AD are Aricept, Exelon, Cognex & Reminyl.

Various studies are under way to clarify the role of some common substances in the prevention of AD. Among these are non-steroidal anti-inflammatory drugs (NSAIDs), antioxidants (such as Vitamins E, & C), estrogen replacement therapy, ginkgo biloba, multi-vitamins & minerals, Acetyl-L-Carnitine, Vitamin B complex, melatonin, Co-Enzyme Q10, folic acid, and glutamine.  Consult a health care provider before modifying medications or vitamin intake because of drug interactions and undesired side affects.

Some foods that are effective in combating AD are those high in vitamin C (fruits & vegetables), vitamin E (nuts, seeds and whole grains).  Additionally, one glass of red wine per day (contains antioxidants which prevents brain damage) has been shown to be beneficial.

Stimulating the Brain – Mind Exercises

Exercising your mind as well as your body is as important as medical and nutritional treatment methods. AD sufferers are encouraged to engage in activities such as card games, crossword puzzles, and various hobbies. Keeping socially active and mentally stimulated is strongly advised.

Future Methods of Treatment

A new medication called Memantine has been used in Europe for several years, and is on the cusp of gaining FDA approval here in the U.S.  Additionally, there is an AD vaccination on the horizon that has been undergoing testing for many years.  Undesired side affects have prevented it from being approved to date, but medical scientists are encouraged that these problems will soon be overcome.

Who Can Help?

Mrs. Robbins, a 91 year-old Westchester resident was recently diagnosed with dementia.  Sally, her daughter, who is separated by hundreds of miles, had concerns that her mother was no longer competent enough to take all of her medications and pay all of her bills.  So, Sally requested the services of Elder Care Consulting, Inc. (ECC), a geriatric care management company.  Founded by Loren Gilberg, RN, MBA, ECC provides assistance in managing the daily medical and homecare needs of older adults

A comprehensive assessment revealed that some medications were being abused while others had been forgotten.  Additionally, assorted notices from collection agencies revealed that utility and other household bills had been neglected for months.

Elder Care Consulting, Inc. immediately became a vital member of the care team.  With expanded focus on managing Mrs. Robbin’s care, ECC brought a comprehensive approach that bridged and coordinated all of the appropriate services.

Make older years golden years by proactively addressing complications of Alzheimer’s Disease and dementia.  Help is available through Elder Care Consulting, Inc. at 914-582-0796.

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Geriatric Care Managers Save Lives & Save Money

By Arthur Pilson and Loren Gilberg, RN, BSW, MBA - January , 2003

Loren Gilberg founded ELDER CARE CONSULTING, INC., a geriatric care management company, to help her senior clients receive outstanding care and maintain their quality of life. In addition to her medical expertise, Loren has a Masters Degree in Business Administration and a Bachelor’s degree in Social Work. This background affords her the necessary skills to help the clients of ELDER CARE CONSULTING, INC. navigate the complex world of managed care, medical benefits, social service organizations and legal issues.
A Walk In The Neighborhood

Mrs. Goodman arrived home from work on what she thought was a typical Thursday evening. When she called to her husband, as she had been doing for the past 6 years since his retirement, he did not answer. You see Mr. Goodman had been suffering the ill effects of Alzheimer’s disease, an illness that greatly affects the senior population. It just so happened that on this not so typical evening, Mr. Goodman took a stroll in his once familiar neighborhood, with no way of knowing how to return home. Were it not for the involvement of a thoughtful neighbor who recognized him and immediately called his wife, Mr. Goodman’s fate could have turned out very differently. Shortly thereafter, Mrs. Goodman turned to her family doctor for advice on how to handle this crisis. Fortunately for her, Dr. Miller had first-hand knowledge about how Geriatric Care Managers are able to use their skills to help stabilize the lives of the elderly and their loving caregivers.

Geriatric Care Managers (GCM) are healthcare professionals who manage needs of aging individuals whose loved ones are too far away or too busy to adequately provide care themselves. They save thousands of dollars for clients by providing an alternative to nursing homes and reducing hospitalizations through continuous medical monitoring.
GCM’s evaluate appropriate living arrangements, provide comprehensive assessments, psychological screening, arrange for homecare and countless other services. GCM’s may also arrange for financial, legal and medical services, evaluate living options, and assist with relocating an older person to the best possible setting. They serve as a link between families who are separated by long distances from their elderly loved ones. Ultimately, it is the goal of a Geriatric Care Manager to allow the older person to maintain his/her independence and sense of dignity.

Though it is never too late to call, do not wait until your concerns becomes a crisis! Act while you are still in control and have the time to make informed decisions. For more information about Geriatric Care Managers, contact:

(914) 582-0796

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GRAY MATTERS: Care Managers Can Help Guide the Old and Alone

February 28, 2004
Many of our kids, bless 'em, have taken on the responsibility of looking after us when we need help. Trouble is, they don't know very much about the programs we depend on, like the differences among Medicare, Medigap and Medicaid, or how to plan and pay for long-term care.

We can't blame them. The young pay little attention to anything associated with aging. Also, they've been busy with jobs and families, and were accustomed to seeing us take care of ourselves. They barely noticed we were growing older, especially if they live hundreds of miles away. Besides, the older generations have been reluctant to share their problems and finances with their kids.

Most of us have learned how to negotiate Medicare. But thanks to Congress, the president and AARP, radical, baffling and potentially expensive changes are coming. When government ads and AARP tell us "it's the same Medicare, only more," that's a lie, otherwise it wouldn't take so much explaining. In addition, Gov. George Pataki seems determined to make it all but impossible for mom to keep the house and pay her bills if dad needs Medicaid long-term nursing care.

The changes will make work for health care advocates, insurance firms, government bureaucrats and elder law attorneys. But lawyers cost a bundle, and without the expertise and time to devote to deciphering the programs, older Americans and their caregivers will be at a big disadvantage. Mary M., who cares for her aged mother, said that in dealing with the "chaos of Medicaid and long-term care, I have a hard time getting through all the red tape. I can't imagine how seniors manage who have no one to help them."

One possible source of professional help especially for caregivers and for older persons living alone is the geriatric care manager, who is hired to become the proxy caregiver, performing such duties as looking after a client's finances, searching and applying for helpful programs, filing and keeping track of insurance and Medicare claims, and possibly much more.

I learned about the value of a care manager a few years ago from Billie Anshen of East Se- tauket, who runs Senior Care Consultation Service (631- 246-5656). Anshen reminded me to tell readers there are no penalties for assets transfers for Medicaid home care (Pataki wants to change that). Now Anshen specializes in helping families apply for Medicaid.

Loren Gilberg, a registered nurse who runs Elder Care Consulting ( in Westchester, suggested resources for those searching for an affordable assisted-living facility for an aged parent, and respite care.

Gilberg says a good geriatric care manager is a health care professional who can take charge of all the needs of an aged person whose loved ones live too far away or don't have the time or the knowledge to provide the care. Whether the elderly person is living at home or in an assisted-living or nursing facility, Gilberg said, "families find comfort in turning to geriatric care managers who are familiar with the facilities. ... A care manager provides peace of mind." For older persons who hope to remain in their homes for the rest of their days, the care manager can help shop, keep the bills paid, balance the checkbook and avoid scams.

The care manager also can assist in finding alternatives to nursing homes and hospitalization, and help locate legal help to update estate plans, wills, powers of attorney and health care directives. If you worry about elderly loved ones and don't see them often enough, consider a care manager. At the least, next time you visit mom and dad you might gently pry into their business and see what benefits they're getting, if they have long-term care insurance, and whether they've updated documents protecting their savings and homes, and their last wishes in case of disability.

Obviously, a private care manager should be chosen with great care, lest you open your loved one's home and bank account to a thief. You can find a care manager in your area and other tips on the Web site of the National Association of Professional Geriatric Care Managers, And there is valuable information, including links to senior resources and the names of New York area professional care managers at
These Web sites advise that, when seeking a care manager, insist on checking credentials, training and references; also whether he or she is available in emergencies, and compatible with those in his or her care. Of course, it will be the caregiver's responsibility to keep an eye on the care manager.

The fees for care managers are not cheap, but if the service gives you and your loved ones peace of mind, it will be worth the price. Gilberg charges $150 to $300 for an initial assessment, depending on the complexity of the situation, and then $125 to $250 an hour.
If you and your kids are on your own in dealing with the senior years, this column will try to assist if you write. For starters, I'll send Gray Matters' resource guide, with key phone numbers and Web sites, if you'll send a self-addressed stamped envelope.

Write to Saul Friedman, Newsday, 235 Pinelawn Rd., Melville, NY, 11747-4250, or by e-mail at saul ||
Copyright (c) 2004, Newsday, Inc.
This article originally appeared at:,0,1424226.story

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Seniors Care: Another Helpful Resource

By JOY VICTORY (Original publication: August 12, 2003)

As a child, Loren Gilberg traveled from Queens to Brooklyn four times a week to visit her grandmother in a nursing home.

Years later, Gilberg has turned her childhood love for her grandmother into a full-time career. She is a geriatric care manager, part of a growing field that tends to the needs of ailing older adults.

Families, including adults who live hundreds of miles from their aging parents, can enlist a geriatric care manager to coordinate services such as home health care, meal deliveries, legal and financial advice, and supervised medical visits.

Essentially, the care manager acts as an advocate, making sure the client is safe and healthy, whether in a private home, nursing home or assisted-living facility.

Geriatric care managers, who usually hold a master's degree in nursing or social work and have worked in health care for years, often turn to private care management as a way to go into business for themselves, as is the case with Gilberg, a registered nurse who holds a master's degree in business administration.

"I think it's a very necessary field," says Gilberg, owner of Elder Care Consulting in Scarsdale. "I saw such a need for people 'aging in place' and not going into a nursing home ... Helping people, that's my thing."

Unlike nurses or doctors, a geriatric care manager doesn't have to be licensed, so there is no way to track how many care managers there are. But figures provided by the National Association of Professional Care Managers show that membership increased from 300 in 1990 to 1,350 in 2000 (members in this area can be located at

Arlene Teichberg, like many care managers, opens a case with a lengthy assessment of the client's capabilities and weaknesses. Then she devises a "care plan," making recommendations for changes. (The assessment and care plan usually run anywhere from 150 to 300 dollars; after that, care managers set hourly rates, averaging 125 dollars).

"The (care plan) identifies problems," says Teichberg, of Congers. "The difficulty of getting out of bed, or chairs, (poses) real risks to the elderly. Often, a friend will call and ask for an assessment because a person is losing function."

Once the problems are fixed... Gilberg recently arranged for an 86-year-old male client to receive medication for increasing forgetfulness... the manager monitors the client for changes, and also can arrange other services, such as assistance with applying for Medicare.

Although care managers are meant to be helpful, many elderly clients are at first opposed to the assessment, fearing major changes, Teichberg says.

"You may find yourself having to sit through them telling you how independent they are," she says. "They're putting up a brave front."

In those cases, Teichberg finds herself using her counseling background; she is well-versed in family therapy... to make her clients and their families feel more comfortable.

"We are all going to have sensory deficits," says Teichberg. "None of us is perfect. I believe if we believe in the integrity of our lives... in who we love and are loved by... I can help a person see that their life has meaning."

Care manager Miriam Zucker, who runs Directions in Aging in New Rochelle, says families frequently seek her out to determine if an ailing parent should be placed in a nursing home. Like Teichberg, she tries to keep clients home as long as possible, by hiring home health aides.

When selecting a care manager, Zucker says, families should make sure the person has post-graduate training in some aspect of gerontology, such as counseling or nursing, and is well-versed in the numerous resources available to senior citizens.

She recalls a case in which she had to order a very tall male client a special bed in his nursing home, so his feet wouldn't hang off the bed. Inexperienced care managers can miss the small details that make life more comfortable, she says.

"Some clients are very vulnerable," Zucker says. "You're always an advocate for your client."

Plan for long-term before it's needed

When it comes to nursing-home care, many of us like to think "it won't happen to me." Yet the National Underwriter Foundation estimates that 40 percent of us will need long-term care in our lifetime.

Long-term care is round-the-clock medical treatment or supervision that lasts more than three months, provided by sources including home health aides, assisted living facilities and nursing homes. It's needed for afflictions ranging from accident injuries to multiple sclerosis to Alzheimer's disease.

Whatever the reason, long-term care costs a bundle (in this area, nursing-home care can run upwards of 80,000 dollars a year). To offset the cost, many employers and insurance companies offer long-term-care insurance. For a yearly deductible, it can cover some or most of the costs of such care.

Long-term-care insurance has benefits beyond saving money, says Rockland insurance broker Joann Costa Daccardi. With financial peace of mind, caretakers don't feel obliged to provide care beyond their experience or ability (such as an elderly wife trying to lift a bedridden husband when that job should be done by someone stronger). It also maintains a person's estate and avoids federal Medicaid support, which offers far fewer choices of facilities than private insurance.

The rates vary widely, depending on a person's situation, but Costa Daccardi says it's safe to assume that the deductible will be far lower than the cost of the care. For example, Costa Daccardi recently wrote a no-frills policy for a healthy 79-year-old woman. It came to 6,200 dollars a year, much less than the average nursing-home cost.

The policy typically kicks in when a medical professional has certified that a patient will need custodial care beyond 90 days, and that the patient has lost two or more "activities of daily living" (like bathing and feeding).

The Pace Women's Justice Center suggests the following considerations when purchasing long-term-care insurance:

• The premiums should remain steady.
• Be clear on the length and amount of coverage offered.
• Ask about inflation riders, which provide extra dollars to allow for the rise of costs.
• Make sure there is no exclusion for "cognitive impairment," dementia or Alzheimer's disease.
• No prior hospitalization should be required. Days spent in the hospital awaiting placement should be covered.
• Ask for guaranteed renewability of policy.
• There should be a waiver of premiums during the period of claim.
• Respite-care coverage should be included.
• The insurance company should be rated A+ by Best insurance rating service.
• Consider an agent who can issue insurance with several different companies.

Reach Joy Victory at or at 914-694-5049.

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The Golden Years: Elder Care Expert Gilberg Offers Help for Seniors

The Scarsdale Inquirer - August 22, 2003

When Loren Gilberg was a little girl she went to see her grandmother in a nursing home in Brooklyn each week. She loved going there despite the unpleasant sights and smells. “I had such a love for my grandmother — and a passion for older people,” she said.

Gilberg’s family always planned their visits around mealtime because there were not enough aides to feed the other residents. “I was always surprised that food was left over and people hadn’t eaten,” she said. “After we finished feeding my grandmother, we would go down the row and feed the other people because there was only one aide for 10 people.”

Early in her career as a gerontology nurse, Gilberg saw elder care as a growing field, especially with the increased life expectancy in the senior population and the increased number of busy professionals having to take charge of managing their aging parents’ needs. It was only logical that she ended up as an elder care specialist, working to keep seniors in the comfortable surroundings of their own environments for as long as possible.

Gilberg’s three-year-old company, Elder Care Consulting, provides a positive alternative to nursing homes by relieving the spouse, parents or relatives of “the intense demands of caring for older family members.” Says Gilberg, “We really age people in place to keep them out of nursing homes.”

Children who are far away or who fall into the “sandwich generation” of trying to care for both children and elderly parents “are very overwhelmed” and “don’t know how to go about helping their loved ones.”

Enter Loren Gilberg.

Care managers such as Gilberg and her staff of six fully assume all responsibilities in monitoring and coordinating the various aspects of a client’s life. She also employs per diem help as necessary. “My job is to advocate for the patient,” she said. “Without help, these situations turn into crisis situations.”

Her company offers a variety of services, including finding the right doctors, aides to help with medication management, general home care, even help with paying bills.

“The close, interpersonal relationship that develops between the client and the case manager reduces the elderly’s sense of isolation and vulnerability,” said Gilberg.

Gilberg, 41, has extensive experience working with the elderly having spent years as an RN in the gerontology and intensive care units in hospitals like Long Island Jewish, Lenox Hill and North Shore and also as a social worker. She also has an MBA with a focus on gerontology and health.

The first step: doing an assessment

When a client or family member contacts Gilberg, the first thing she does is an assessment in the client’s home, which takes between one and a half to two hours. Very detailed and comprehensive information is gathered, including all doctors the client sees and current treatment and medications; what the client’s cognitive and emotional level of functioning is — hearing, vision, speech; nutritional status. She also finds out what she needs assistance with and what she can do independently — bathing, dressing, getting in and out of a chair, use of phone, taking meds and getting to doctors.

Gilberg says that only 20 percent of her clients have long-term care insurance, the only type of coverage that pays for assisted living facility costs. She encourages her clients’ children to purchase it, as the cost is lower the younger you are. Her firm is affiliated with a company that sells it if clients want it.

During the assessment, Gilbert asks clients if they have a health care proxy, a living will, a durable power of attorney and an attorney. Her firm works with clients to deal with financial planning through Medicaid and helps them find elder law attorneys.

Gilberg charges $300 for the assessment.

Once an assessment is complete Gilberg usually recommends that the client see a gerontologist who does an evaluation for memory impairment and another evaluation by a neuropsychologist. She often accompanies them on both appointments. Gilberg says many of her clients have Alzheimer’s and were previously unaware of medications that slow down the progression of the disease.

If the client doesn’t have a hearing aid and needs one, she recommends the names of facilities where he or she can go to be tested and fitted for one.

“If I bring an aide into the home I know what her responsibilities are,” said Gilberg. In some instances she helps train aides to work with clients.

Her company can help clients hire aides to help with food shopping and preparation, home maintenance and laundry. “Whatever interest or hobby the client may have had, we get them involved in that,” Gilberg said.

Where appropriate Gilberg will find adult day care centers for her clients which she says gives them a chance to spend time with other older adults, providing them with a safe haven. It also gives their spouses or family members some much-needed time off from their caregiving responsibilities.

Cutting through the red tape

For all other services Gilberg charges $125 an hour for meetings, phone work and e-mail correspondence. She doesn’t receive any referral fees from any of the agencies she works with — to do so is illegal, she said.

Her firm does everything from finding home health care workers, companions, LPNs and RNs to visiting doctors with clients and searching with clients for the appropriate assisted living facility if it’s called for.

She says it’s not unusual to see between four and six facilities before finding the ideal one.

How do you decide whether a client should remain at home or belongs in an assisted care facility or nursing home?

“I don’t make that final decision,” said Gilberg. “A lot of people want to remain at home. If someone used to be very sociable, I may take them to look at assisted living places. The decision evolves — it’s not a black-and-white issue — we talk with the children. For the most part we try to keep people out of nursing homes.” She deals with facilities in Westchester, the Bronx and Connecticut. The bulk of her clients are from Westchester, but she also has some in the Bronx, Dutchess County, Long Island and the lower part of New Jersey. Gilberg says she has never advertised and gets her clients from “word of mouth” through doctors, discharge planners and social workers in hospitals.

Gilberg works with clients of varying ages, including younger clients who may have suffered strokes. She currently has a 58-year-old client suffering from Lou Gehrig’s disease.

Special services

Gilberg’s services are also called upon when clients are about to be released from a hospital and are in need of special services. Before they are discharged, Gilberg calls a team meeting in the hospital with “whoever is in charge of planning — the social worker, physical therapist, nurses, doctors. I have my list of questions. I make sure when the patient goes home, the environment is very safe. If they need a hospital bed, a stair lift, grab bars in the shower, home health aides, bed pans, lab techs to test their blood if they’re on blood thinners, Medic Alert [necklace or bracelet], etc. it’s provided. I provide a home emergency list to put on the refrigerator.”

Gilberg also has affiliations with sub-acute facilities for clients who need short-term rehabilitation. “I feel very strongly about the quality of care. It’s very important — patients do very well with that. Some people only need company,” she said.

Gilberg is “personally available on a 24-hour-a-day basis” and said that some people do call, but she doesn’t get a lot of calls at night. She doesn’t charge for phone calls to clients and says she checks in with them sometimes three times a day.

Gilberg tries to find free services for clients, including free escort services for those who do not drive.

“Elder Care Consulting provides a positive, affordable alternative to nursing homes while sustaining the older adults independence and sense of dignity,” said Gilberg.

She is on a variety of boards, including the National Association of Professional Geriatric Care Managers, the Alzheimer’s Association and the United Way. In October she will speak to a group of elder law attorneys at a meeting of the Westchester County Bar Association.

Gilberg lives in Heathcote with her husband Stephen, son David, 15, and daughter Nicole, 16, both of whom attend Scarsdale High School.

“I never thought it [the company] would grow to this level this quickly. People are living to ripe old ages and want a certain quality of life and are turning to this kind of care,” she said.

Elder Care Consulting can be reached on the Web at or at 582-0796. Gilberg said she would be happy to make out-of-state referrals. For more information on elder care consultants, check out Gilberg recommends hiring elder care specialists who are nurses or social workers.

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