What She Has To Offer

I’m in the kitchen starting the coffee when Mom comes in. “What can I do to help?” she asks before she even clears the door.

It is very important to Mom to feel useful. She doesn’t like others doing things for her. I try to make sure there is always a job she is able to do. Sometimes that is difficult, but this morning I am prepared.

“There’s Windex and paper towels on the table there,” I say. “Can you just wipe the table off for me?” She cleaned it last night, but she won’t remember that.

“K.O., I’ll do it!” she says, tearing off several paper towels with alacrity. “Is this the Windex?” She motions toward the blue spray bottle.

I turn from the coffeemaker. “Yep, that’s it.”

But before she can start, Mom sits abruptly in the large kitchen armchair, wincing. “Oooh,” she murmurs, rubbing her legs, the paper towels still in one hand.

Mom does not show pain often, so I’m alarmed. “What?”

“Well, it’s just …” She pulls both soft cotton pant legs up to her thighs. Her lower legs are puffy above her tight ankle socks and around her knees.

For the full article

Thanks to the NY Post Blog for this article!

Several Bills Currently In Congress

There are several bills currently in Congress that will impact Medicare and senior service providers:

The first is a reintro­duced initiative to forgive student loans for those medical professionals who agree to service seniors in underserved ar­eas.

The second is a bill which would modify the new rule requiring a face to face doctor visit for ordering Medicare home health nursing services, by expanding the rule to allow nurse practitioners to order the visits as well.

Third, patients, families, and facilities are negatively impacted by the arcane rule requiring a three day stay in the hospital in order for Medicare to pay for the skilled nursing facility charges. There is a bill before Congress that would change this requirement to include “observation” time.

Thanks to Robin Smith Consulting for these valuable updates

Senior Abuse: An “Invisible and Silent” Crime

I was moved by an article in Saturday’s Boston Globe; Galvin Moves to Protect Elders’ Interests and thought that Patch readers might benefit from knowing more about this invisible, silent crime against elders.

Knowing that Secretary of State William Galvin took a first step towards rectifying the growing financial abuse against seniors by submitting a bill to the Massachusetts Legislature — a bill that would bar people with power of attorney from enriching themselves or otherwise abusing their authority — was satisfying, to say the least.

Better still is knowing that the legislation, filed earlier this year, states that those holding a power of attorney position must act in good faith. More importantly, it establishes that those holding power of attorney have a fiduciary duty to the people they represent — any action by them MUST benefit that person’s best interest.

Read the FULL story

Plan For The Worse…Live For The Best

Here is what I know – At 59 I’m healthier than either of my parents were at age 59. I have never smoked. I’m fairly active and exercise some but not overly. I eat fairly well, but not always. I drink socially but not in excess. So what are my odds of remaining healthy and being able to care for myself? Better, I’m sure than my parents but the fact remains that the odds of something happening to me beyond my control still exists. Any number of accidents could befall me. What then?

We Boomers don’t like to think or talk much about aging. For us, and many in our generation, the idea of needing long term care is down the road a ways.

We avoid discussing these issues for several reasons; most notably as discussed above is that of denial. Secondly, I think that we have come to expect that the government will take care of us through Social Security, Medicaid and Medicare. Unfortunately, we ignore the fact that these programs are not fail safe measures of obtaining care especially if we want to remain in our homes. Yes, it is likely some form of government benefits will be there but statistics and finances will make it more difficult for us to receive these benefits.

Read More Here

Answering The Call

Family caregivers understand the apprehension that often comes with worrying about their senior parents…the anticipation of a midnight phone call can be nerve-racking for anyone. According to the American Society of Consultant Pharmacists (ASCP) even though seniors represent just over 13 percent of the population, they consume 40 percent of prescription drugs and 35 percent of all over-the-counter drugs…

Most often family caregivers don’t know what their loved ones’ are taking and to add to the confusion, they are in the dark about their parents and financial and legal information. Home Instead Senior Care® surveyed future family caregivers…those individuals who plan on caring for their parents when the need arises to determine their level of knowledge and awareness when it comes to important information about their parents…What we found was that:

While survey participants overall feel informed about their parents’ health situation, there were ‘knowledge gaps’

A significant number of survey participants predict that they will begin caring for their parents within the next three years; nearly one in 10 says he or she could be called into action literally any minute.

Less than one-half of future caregivers say that they are knowledgeable about their parents’ medical histories in case of an emergency.

Even though a majority of future caregivers say their parents are healthier than other people their age, nearly two-thirds of the parents have two or more medical or health conditions, and nearly one-half takes at least three medications.

Nearly one-half of the parents exhibit three or more “risk factors” that could lead to medication-related problems.

Future caregivers have varying degrees of knowledge about their parents’ advisors and service providers; they are most likely to know their parents’ banker, primary care physician and health insurance provider.

Knowledge of important documents runs hot and cold, with nearly one-third of future caregivers reporting that they don’t know where their parents keep their will and testament or don’t know if they have one.

A significant number of future caregivers say they have not tried to ask their parents for information related to their parents’ health histories or their parents’ plans for the future.

As a result of this study, the Home Instead Senior Care network worked with the American Society of Consultant Pharmacists (ASCP) to provide additional information about the relevant topic of medication management. Also, the Home Instead Senior Care network and Humana Points of Caregiving® worked together to develop the Caring for Your Seniors: Senior Emergency Kit; an information management tool and website to help family caregivers track medications and other important financial information regarding a senior loved one’s health. This toolkit includes checklists and worksheets for medications, conditions, allergies, doctors, health advisors and a place to store other vital records.

Home Instead Senior Care Is On Cable!

Finally, we are ON AIR! Just wanted to let our BLOG, TWITTER and FACEBOOK friends and readers know that the Home Instead Senior Care cable show is on! Hope you enjoy watching and hearing from those business’ and people who offer additional support and help to the growing population of seniors. It is my hope that the cable show will offer insight into better managing our families as we all enter into the ‘golden years.’ Here’s the cable station internet, AACS link where you may view the shows that have previously aired. Each week additional shows will be added. Lots more to come…guests are already booked through August. Any ideas for what you may want to know more about, your comments and/or input is always appreciated!

Boomers Turn 65!

In 2011, the baby boomer generation turns 65. So what can the Boomers expect in their retirement years? This week CNN will bring you special coverage of this generation.

What plagues baby boomers?

Sex, drugs and a rocky road, said Jim Bacon, author of “Boomergeddon.”

Boomers are less healthy and heavier than their parents were at their age. And they pop far more pills than the previous generation; an average 50-year-old man takes four prescription medications daily, according to AARP.

For More:

Elder Mediation: Helping Adult Familes Resolve Conflict

The disputes may start quietly, but they can and do brew into hot and heated arguments and believe it or not they have split families apart.

Take for example:

Mom left a pot boiling on the stove again…you are fearful she’ll burn the house down.

Dad is getting forgetful and isn’t paying his monthly bills. You, and your siblings live far away and through neighbors find out that the heat and electricity were turned off.

Dad’s got more scrapes and scratches on his car than the grandkids do on their knees…you want him to STOP driving.

As adult children you are concerned and decide amongst yourselves to take-over…One of you wants to get Dad declared mentally incompetent, so the family can take control of his finances. One of you threatens to take Dad’s car keys. He threatens to write you out of his will. Another one of your siblings wants the house to be sold and Mom to enter assisted living.

Dad is now very angry…Mom thinks you’re over-reacting. Both parents are mortified…Dad because his kids are looking into how much money he has and how his finances are organized and Mom because she feels as though the children are trying to control her life.

For More:

Subtle Signs and Signals

During my kids hectic teenage years I often loss site of my parents ‘aging needs.’ I wish I had been more available, more observant, more everything, but it just wasn’t possible since they lived a fair distance from me. ‘Beating’ yourself up over a lack of parental oversight isn’t productive so I would like to share some ‘aging signs and tips’ that might be of help.

Some of these ‘signals’ may be noticeable to you, however if your parents do not live close it might be important to contact a friend or two of theirs so that you stay abreast of a possible problem before a crises ensues. Being aware of any changes in the way your parents handle day-to-day chores can provide ‘health’clues.

Read the full article here

The Best Laid Plans of Mice and Men (don’t always work)

The clock may be ticking faster than you think. Are we ever really fully prepared…especially if we have waited to make those end of years ‘legal docs’ because our parents (or ourselves) appear healthy and after-all we have made it to our 60’s – 80’s with relatively no problem…

But then, in an instance, a family member’s health deteriorates and rapidly! They are admitted to the hospital with pneumonia and/or congestive heart failure, etc. What follows is a series of challenging moves from the hospital to a rehab center to a respite center, back to the hospital and even a possible nursing home stay.

In an instant all your research and eminent ‘senior’ planning is out the window. With a parent or both parents on a health roller coaster, it is impossible for you to properly evaluate their needs and the situation quickly becomes more than you can handle.

Thankfully Geriatric Care Managers have surfaced in this, the day and age of the rapidly blooming ‘baby boomers’ and their parents into senior ‘caredom’. Although the cost may be prohibitive to some, many long-term care policies cover the expense. Geriatric Care Managers will assess and coordinating your aging parents’ needs. They will assist in filling out long-term care paperwork, having medical records transferred, help with doctors and coordinate with the facility you eventually select.

Most Geriatric Care Managers provide unbiased advice because they are not associated with any one senior living facility so a surviving parent or caregiver can be at ease of receiving legitimate as well as helpful advice. Hiring a professional who understands the ins and outs of senior care can help families through their crisis. Their input will help you select the best facility available for your parents – something that will allow you peace of mind. If you are looking for a certified Geriatric Care Manager to assist with your family’s elder care planning needs, please consult this online Directory for an expert in your area.