Our Thoughts

From Serving Iowa Elders for Over 20 Years


Meet the Authors

Pamela Nelson-Grotrian

Pamela Nelson-Grotrian


Hi, I work as a social worker for a private geriatric care management agency in Des Moines, IA called Elder Concerns, L.C. We have been in business for 20 years as of 2014. I have worked for Elder Concerns, L.C. for approximately 16 of the the 20 years. We provide geriatric care management for seniors in Iowa. I have a Masters in Social Work from the University of Minnesota. I have been working as a social worker for over 25 years. I have worked in residential care facilities for adults with mental illness, crisis telephone line agencies, domestic violence shelters and services, a county hospital where I worked with folks that were homeless and mentally ill, a home health agency, and a nursing home. I really enjoy working with people and I really enjoy gathering information about services in the community. This is where this blog comes into play. I find that in Iowa there is no clear entrance into discovering the services, agencies, government programs, private facilities, medical establishments and transportation services that serve the elderly. It is confusing for someone seeking services to know where to start. I’m hoping to have this website/blogsite be a guidepost into the world of services for seniors in Iowa and around the country. I know that many elderly are not connected into the internet and for them, this website isn’t going to help. But for those elderly who are frequent users of the internet and for those people who know, love, and worry about seniors in their family and friendship circle, this website should be helpful to you and yours in the long run. As I have a full-time job and a family, information may not appear on this site as quickly as I would like but hopefully, eventually, this website will help you discover the fascinating world of growing older as I hope we all experience that prospect some day.


Mary Alice Butler

Mary Alice Butler

  Mary Alice Butler has been the owner of Elder Concerns, L.C. for 20 years.  She has a Masters in Social Work from the University of Iowa and has worked with the elderly all of her social work professional life.  She has a passion for helping people and is a wonderful boss.   When Mary Alice created Elder Concerns, L.C. 20 years ago, she brought conceptualized geriatric care management as helping seniors in all areas of their life.  She believes in assisting people with all of life’s difficulties, not just with a narrow focus of services.  As a result, Elder Concerns, L.C. provides services assisting seniors with accessing services, medical advocacy, finding placements if needed, keeping their physical environment in good shape, and assisting them in managing their finances.  Elder Concerns, L.C. employees have cleaned toilets, set mouse traps, and painted walls.  They have also accompanied clients to the Emergency Room at 3:00AM, counseled depressed seniors, and accompanied seniors to appointments at the Mayo Clinic.  It is truly a unique agency.


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