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Resources

Straight answers for families figuring this out.

Most of what follows costs nothing and has nothing to do with hiring us. It is the guidance we end up giving on the phone anyway.

Who to call for what

Families often start by calling the wrong kind of provider, then conclude nothing fits. These are four different services with four different rules.

Concierge

Solmira

Non-medical. Appointments attended, errands run, vendors coordinated, family kept informed. Private pay. No hands-on care and no clinical judgment.

Home care

Personal care aides

Hands-on help with bathing, dressing and daily living at home. Usually private pay or long-term care insurance. Ohio-regulated.

Home health

Skilled clinical care at home

Nursing, physical or occupational therapy ordered by a physician. Often covered by Medicare when criteria are met.

Care management

Geriatric care managers

Professional assessment and a written care plan, then oversight of the providers delivering it. Private pay.

These often work together. A parent can have a home health nurse twice a week, an aide three mornings, and a concierge for the appointments and the running list — the roles do not overlap.

Going to a specialist appointment

The single highest-value thing anyone can do is walk in with these written down and walk out with the answers written down.

Before

Bring with you

  • A current medication list, including over-the-counter items and supplements
  • The three questions that matter most, in priority order
  • What has actually changed since the last visit, with rough dates
  • The name and contact details of every other provider involved
  • Any device, reading log or symptom diary in use at home
Before you leave the room

Ask these

  • What is the working diagnosis, in plain language?
  • What are we watching for, and what would mean call you sooner?
  • What changed on the medication list today, and what should stop?
  • What is the next step, who schedules it, and by when?
  • Who do we call after hours — this office, or somewhere else?

When a Solmira concierge accompanies a client, this is the structure of the note the family receives the same day. We report what was said — we never interpret it or offer a clinical opinion.

Coming home from the hospital

The two weeks after discharge are where most preventable setbacks happen. A short checklist covers most of it.

Day one

Medications reconciled

Compare the discharge list against everything already in the house. Old bottles of a stopped medication are the most common problem.

Day one

Follow-ups on the calendar

Every appointment named in the discharge paperwork, booked and written down — not left as an intention.

Day one

The path cleared

Walkways free of rugs and cords, a light within reach of the bed, and the phone where it can actually be picked up.

First week

Food and supplies in

Groceries that match any new dietary instruction, plus whatever equipment was recommended and never ordered.

First week

One written summary

What happened, what changed, and who is doing what — shared with every family member, so no one is working from a different version.

Ongoing

A named point of contact

One person, family or professional, who owns the follow-through. Shared responsibility is how items get dropped.

Talking to a parent who does not want help

Nearly every family we speak to has had this conversation go badly at least once.

Lead with the logistics, not the decline

"I want transportation arranged and some help with the paperwork" lands very differently from "you are not managing."

Make it about your own load

Many parents will accept help framed as relief for an adult child long before they accept it framed as help for themselves.

Start small and time-limited

One appointment, or one month. Agreeing to a trial is much easier than agreeing to a change in identity.

Where to look locally

Organizations Columbus-area families are most often pointed toward. We are not affiliated with any of them, and listing one is not a recommendation — confirm current programs and contact details directly with each organization.

Central Ohio Area Agency on Aging

The regional agency on aging serving Franklin and surrounding counties; the usual starting point for public benefit programs and in-home service referrals.

Franklin County Office on Aging

County-level programs and services for older residents of Franklin County.

Ohio Department of Aging

Statewide programs, the long-term care ombudsman, and consumer information about Ohio provider types.

Alzheimer's Association — Central Ohio

Education, support groups and a 24/7 national helpline for families managing dementia.

Ohio Attorney General — Consumer Protection

Where to check on, or report, a provider or contractor before money changes hands.

Your parent's health system

Most Columbus hospital systems have social workers and patient navigators available at no cost to established patients — ask discharge planning directly.

Still not sure what you need?

The complimentary 15-minute call is genuinely a conversation, not a sales pitch. If what your family needs is a home health referral rather than a concierge, we will tell you that on the call.

Solmira provides private-pay, non-medical concierge and lifestyle-support services. Solmira does not provide skilled nursing, medical advice, hands-on personal care, medication administration, financial management, emergency response, or transportation. Solmira maintains all required Ohio licenses, policies, insurance, and operating practices as determined by qualified Ohio counsel and applicable law.

The material on this page is general information for families and is not medical, legal or financial advice.

In an emergency, call 911.