Home, the Desired Setting for Elder Care

Most of those receiving long-term care and most caregivers prefer a home environment.

 Out of an estimated 10 million older Americans receiving care, about 7 million are in their own home or the home of a family member or friend. The National Association for Home Care & Hospice reports that over 12 million individuals currently receive care from more than 33,000 providers (for causes including acute illness, long-term health conditions, permanent disability, or terminal illness).

Most older people prefer their home over the unfamiliar proposition of living in a care facility.

Family or friends attempt to accommodate the wishes of loved ones even though caregiving demands might warrant a different environment. Those needing care feel comfortable and secure in familiar surroundings and a home is usually the best setting for that support.

Often the decision to stay in the home is dictated by funds available.

It is much cheaper for a wife to care for her husband at home than to pay out $3,000 to $6,000 a month for care in a facility. Likewise, it’s much less costly and more loving for a daughter to have her widowed mother move into the daughter’s home than to liquidate mom’s assets and put her in a nursing home. Besides, personally taking care of our parents or spouses is an obligation most of us feel very strongly about.

For many long term care recipients the home is an ideal environment.

These people may be confined to the home but continue to lead active lives engaging in church service, entertaining grandchildren, writing histories, corresponding, pursuing hobbies or doing handwork activities. Their care needs might not be that demanding and might include occasional help with house cleaning and shopping as well as help with getting out of bed, dressing and bathing.

Most of the time these people don’t need the supervision of a 24/7 caregiver.

There are, however, some care situations that make it difficult to provide long term care in the home.

It is precisely the ongoing and escalating need for help with activities

of daily living or the need for extended supervision that often makes it impossible for a caregiver to provide help in the home. Either the physical demands for help with activities of daily living or the time demand for supervision can overwhelm an informal caregiver. This untenable situation usually leads to finding another care setting for the loved one.

On the other hand if there are funds to hire paid providers to come into the home,

 there would be no need for finding another care setting. By planning for eldercare in advance and providing the funding necessary to remain in the home, no one need go to a facility to receive long term care. With enough money, anyone who desires, can remain at home to receive the necessary care.

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Arthritis Among Seniors

Arthritis affects millions of people of all ages, including children (1 in every 250 children in the United States each year). From 2010-2012, nearly 50% of adults 65 years or older in the U.S. were told by a doctor that they have some form of arthritis in their joints. Although osteoarthritis is the most common form of the disease, there are over 100 different types of arthritis including gout, fibromyalgia, and rheumatoid arthritis.

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What is Arthritis?

Although very common, arthritis is not well understood. Arthritis is an informal way of describing pain due to inflammation of one or more of your joints. Although most common among women and the elderly, arthritis can affect anyone regardless of race, sex or age. In fact, arthritis is the leading cause of disability in the U.S.

Symptoms might include decreased range of motion, pain, stiffness and swelling. These symptoms can be frequent or infrequent and range from mild to severe. Arthritis symptoms can last for a number of years and even worsen over time.

Common Types of Arthritis

Degenerative Arthritis (Osteoarthritis)

As cartilage wears away, bone begins to rub against bone. This can cause pain, swelling and stiffness. Risk Factors include weight gain, excessive weight, family history, previous injury, and old age.

Inflammatory Arthritis

Rheumatoid and Psoriatic Arthritis are two examples of inflammatory arthritis. When the immune system mistakenly attacks a joint, inflammation and joint erosion develop which may lead to complications with internal organs, eyes and other parts of the body. Smoking is a strong risk factor.

Infectious Arthritis

This unique type of inflammatory arthritis is caused when bacteria, virus or fungus enter the joint and triggering inflammation. Food poisoning, some sexually transmitted diseases ,and Hepatitis C can cause Infectious Arthritis.

Metabolic Arthritis

Uric acid is commonly formed in the body to break down purines, found in cells and foods. Having excessive levels of uric acid can cause needle-like crystals in the join, which can result in sudden spikes of extreme joint pain or gout.

Arthritis Symptoms Checklist

Arthritis.com provides a symptom description to help you and your doctor determine if arthritis could be the cause of your symptoms. Visit: https://www.arthritis.com/about-arthritis

What can I do to manage arthritis?

Ways to help manage arthritis include staying moderately active (strengthening muscles around your joints) with rest between activities, hot and cold therapies, eating a healthy balance diet, maintaining a healthy weight, improving sleep habits, and avoiding smoking and alcohol. If you think a medication is causing painful side effects in your joints make sure you discuss it with a professional.

When Should I See A Doctor?

If joint pain persists, going to the doctor for a diagnosis and getting treatment is recommended. Many people can develop significant joint and other serious issues if arthritis is not treated over an extended period of time. Visiting your doctor may also help determine whether you have other diseases similar to arthritis such as:

Lyme Disease, which not only gives you Arthritis but may in fact cause heart, brain, and nerve problems.

Lupus, which does not cause erosive, deforming arthritis. Symptoms rather tend to be milder overall.

Reiter’s Syndrome, also know as reactive arthritis. It can last from three months to a year, in cases, longer.

Reactive arthritis, which affects a few larger joints usually only on one side of the body. Inflammation of tendons, ligaments and muscles can happened as well. This can cause inflammation of other parts of the body such as eyes, head, skin, and mouth.

Fibromyalgia, a chronic pain condition in the muscles and soft tissue.

Pseudogout, a sudden with swelling and intense pain most common in the knees ( flares can last for weeks or months).

Chicungunya, a virus spread by mosquitoes. One can experience high fever, joint pain, and rashes. Though the rash lasts up to 10 days, joint pain can last up to a year or more.

Still’s Disease, which starts with a salmon-colored rash, high fever, joint pain can occurring after weeks of the initial symptoms. In those younger than 16, it is called Systemic-onset Juvenile Idiopathic Arthritis. This can appear in both adults and children.

Summary

Arthritis is a disease that affects millions but with the right treatment, plenty of rest and a balanced diet, arthritis doesn’t have to ruin plans or stop you from doing what you want to do. Going to your doctor and diagnosing arthritis early can limit damage and give you many years of happy, healthy activity.

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Three Ways to Keep Your Heart Healthy

Consider these odds: If you play the Powerball lottery, your chances of winning the grand prize are about 1 in 175 million. But whether you’re a woman or a man, your chances of dying from heart disease are 1 in 4. It’s a sobering thought, especially if, like me, you have a family history of heart attack and stroke.

 

The good news – and there is good news – is that there are simple things you can do to improve your odds when it comes to the game of life. Talking to your doctor about your heart health is an important first step, and the American Heart Association is just one trusted resource for tips to help you start the conversation. Here are some other ways you can be heart smart:

 

1. Calculate (and conquer) your risks.
Do you have high blood pressure? Do you have high cholesterol? Do you smoke? If you answered “yes” to any of these questions, you’re at increased risk for developing heart disease. According to the Centers for Disease Control, about half of all Americans have at least one of these three risk factors. Other risk factors include family history, diabetes, and poor diet.

 

2. Give your heart the nourishment it needs.
Sadly, your heart can’t live on love (or potato chips) alone. To keep it pumping properly, the American Heart Association recommends eating a balanced diet low in salt, sugar, and saturated fats, and high in fruits, vegetables, and whole grains. When at the grocery store remember to you stock up on healthy staples, like berries and quinoa (say it with me: keen-wah).

 

3. Brush your teeth (Yes, really.)
Smoking, drinking too much alcohol, and not being physically active can all contribute to heart disease. But do you know that poor oral hygiene may also be linked? Scientists believe that bacteria that cause gum disease may travel through our bloodstream and cause blockages in our arteries, which can lead to a heart attack. Be sure to brush and floss regularly to stop bacteria in their tracks.

 

It’s always easier to make lifestyle changes stick if you make one small change at a time. Since I know my family history puts me at risk for developing heart disease, I’ve been cutting out sugary drinks, like soda and bottled ice tea, and drinking more water.

 

What’s one small thing you’re doing to help keep your ticker in tip-top shape?

 

Save the Date: Walking is one of the best ways to improve your heart health. Plan to join the independent Blue Cross and Blue Shield companies as we encourage everyone to get up and get moving for National Walk @ Lunch Day℠ on Wednesday, April 27, 2016.

 

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Avoiding Slips and Falls In Bad Weather

Cold weather can bring more than just a white Christmas. It also brings a number of hazards which can cause slips and falls. Here are some ways to avoid slips and falls.

Footwear

Wearing proper footwear is an easy way to prevent slipping.

Flat Surfaces

Parking and walking on flat surfaces can help prevent slipping. Avoid parking or walking on an angle if possible.

Textured Surfaces

Textured surfaces may harbor ice without making it too slippery for the person walking on it.

Handrails

Walking near handrails indicates you are on a walking path but may also save you in case you do slip and fall.

Bring Extra Shoes if Needed

If you have to wear dress shoes, bring a good pair of outdoor shoes to change into.

Walk Slowly

Walk slowly and pay attention to the areas around you.

Walk Like A Penguin

Point your feet out slightly like a penguin, this changes your center of gravity.

Bending

Bend slightly and walk flat-footed with your center of gravity directly over the feet as much as possible.

Extend Your Arms

Extend your arms out to your sides to maintain balance. Do not put your hands in your pockets or carry anything with your hands, this may leave you heavier on one side and leave you extremely venerable to slips.

Remove Debris Indoor

Remove as much snow and water from your shoes when going indoors.  This will prevent standing water and therefore you or someone else slipping on that standing water.

Lighting

Walk in areas were lighting is good enough for your to see the surrounding area.

Clothing

Wearing a bulky bright coat won’t prevent you from slipping and falling but may prevent injury if you do fall.  The bright color will make sure you can be seen by others.

Don’t Go Out

Life happens and sometimes we can’t put appointments off, but if you can, avoid going out when the weather is bad or later in the afternoon when it has warmed a little. Rescheduling appointments or cancelling due to bad weather is not just for you but for the good of everyone.  Everyone would rather you show up than try to make it and be injured.

If you do fall:

Avoid landing on bony parts of your body, such as your knees, wrists or even your spine.  If you can, land on more fleshy parts of your body such as your behind. Relaxing your muscles and not tensing up may make your fall less painful and prevent further injury.   If you ball backward, tuck your chin in as much as possible to avoid hitting your head on the ground.

Happy and safe walking.

 

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Fall Prevention and Coping after a Fall

Fall Prevention and Coping after a Fall

American writer and poet Gertrude Stein once said, “We are always the same age inside.” I couldn’t agree more. I still feel young even though I am far beyond my twenties. When I dream, I am always much younger. When I look in the mirror, I am often surprised by the reflection of my older self.

I will, however, readily admit that I am no spring chicken. My body isn’t what it used to be and sometimes my age attacks when I least expect it. It is frustrating. I get myself into all kinds of messes, including an occasional injury.

Age related physical changes, mental conditions, health conditions, and even medications increase the risk of injury. Falling is the leading cause of injury among seniors ages 65 and older. In fact, each year one in three seniors will have a fall. As we age, a serious fall can be the difference between freedom of movement and wheelchair, or worse, the difference between living comfortably at home and moving to a care facility. One serious fall can be life changing.

Unfortunately, 2 million seniors will be treated in an emergency setting for fall-related injuries this year alone. For seniors, fractures are one of the most serious consequence of falls. Serious falls may cause hip fractures or even life-threatening head injuries. In 2013, the direct medical costs of older adult falls, adjusted for inflation, were $34 billion.

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While the aging population continues to increase, both the number of falls and the costs to treat the associated injuries will also increase. Even when there’s no serious injury, a fall can still be scary enough that we choose to avoid certain activities because we are fearful of another fall. Falls can have an adverse psychological impact on the aging. For example, after having a fall some can lose confidence, become withdrawn and feel as if they have lost their independence entirely.

The fear of falling doesn’t need to control a life. Below we have compiled some useful information to help you or a loved one prevent falls and cope after a fall.

Make an Appointment with your Doctor if You Fall or have a “Close Call”

According to the Centers for Disease Control and Prevention, fewer than half of seniors who experience a fall will actually talk with their doctors about it. Many will rationalize and conclude that the fall “wasn’t serious enough.” It is important to remember that ALL FALLS ARE POTENTIALLY SERIOUS. You or your family member should see their health care provider if they have fallen, even if they are not hurt. Remember to record the details of the fall, including when, where and how.

It is also important to discuss instances when you almost fell. For example, you were caught by someone, were able to brace yourself just in time, or you became so dizzy that you rushed to a chair or bed before it was too late. These types of details may help you and your doctor identify fall-prevention strategies to protect you.

Review your Medication(s) and Eye Sight with Your Health Care Provider

If you have fallen, have been feeling dizzy, or your sense of balance has declined, consider reviewing the medications are you taking with your health care provider. Some medicines (or combinations of medicines) can have side effects such as dizziness or drowsiness. This can make falling more likely. The Mayo Clinic recommends that you:

Make a list of your prescription and over-the-counter medications and supplements, or bring them with you to the appointment. Your doctor can review your medications for side effects and interactions that may increase your risk of falling. To help with fall prevention, your doctor may consider weaning you off certain medications — such as sedatives and some types of antidepressants.

Poor vision can make getting around safely very difficult. Aging seniors should have their eyes checked annually and wear glasses or contact lenses with the proper prescription strength to ensure clear eye sight. The Mayo Clinic adds:

Certain eye and ear disorders may increase your risk of falls. Be prepared to discuss your health conditions and how comfortable you are when you walk — for example, do you feel any dizziness, joint pain, numbness or shortness of breath when you walk? Your doctor may evaluate your muscle strength, balance and walking style (gait) as well.

Eliminate Home and Clothing Hazards

Over one half of all falls happen in the home or yard. A safety check in the home (including exits), garage and yard can identify hazards that need to be removed, changed or upgraded. To make your residence safer, consider:

Moving, downsizing, or eliminating coffee tables, book shelves, electrical and phone cords, or plants from high-traffic walkways outside and inside.
Securing rugs and doormats with tape, nails or a slip-resistant backing (or remove the rugs entirely from the home).
Swapping out chairs and couches that are unsafe or difficult to stand up from.
Using nonslip mats in the shower or bathtub.
Repairing loose tile, stairs, sidewalks, floorboards and carpeting.
Storing tools, clothing, dishes, food and other necessities in areas that are easy to reach.
Avoiding wearing loose clothing. Regardless of how comfortable they might be, baggy clothing can make a fall more likely.
Consider changing your footwear (shoes, socks, and slippers). Properly fitting, sturdy footwear with nonskid soles can prevent falls.
This safety check should include a review of your clothing and foot apparel. There is a myriad of outer garments, underwear, leisure wear, footwear and other specialized clothing available for elderly people with Alzheimer’s, arthritis, mobility issues, foot problems, incontinence, scoliosis or obesity issues.

Medical Equipment and Assistive Technology

Medical equipment is a term often used to refer to a larger category of services called assistive technology. Assistive technology is a broad term and may mean different things to different people but for our purposes we will define it as devices or systems to help the elderly function safely at home. Assistive technology can include:

Hand rails for entrances and stairways
Lifts and ramps
Nonslip treads for the floor
Raised toilet seats with armrests
Grab bars and nonslip treads for the shower or tub
A sturdy plastic seat for the shower or tub
Elevated toilet seats
Wheelchairs and scooters
Oxygen equipment
If you or a loved one spends a substantial amount of time at home, and is at increased risk of falling, consider subscribing to a personal emergency response system. This service, which operates through your home phone line, provides a button or bracelet to wear at all times in your home. Carrying a cell phone in your pocket while you are at home can also make it easier to call someone if you need assistance.

Great care and consideration should be used for those who are at a fall risk and have been diagnosed with dementia. Although many of the items mentioned above can be very helpful, those with memory issues may forget to utilize them properly.

Physical Activity
The Mayo Clinic recommends that:

Physical activity can go a long way toward fall prevention. With your doctor’s OK, consider activities such as walking, water workouts or tai chi — a gentle exercise that involves slow and graceful dance-like movements. Such activities reduce the risk of falls by improving strength, balance, coordination and flexibility. Lack of exercise can lead to weak legs and this increases the chances of falling. Exercise programs such as Tai Chi can increase strength and improve balance, making falls much less likely.

Practice Getting up from the Floor
Can you get up from the floor on your own right now? The answer to that question may depend on your age, health, past injuries and what is available to grab to help you up. Knowing whether or not you can get up from the floor by yourself is important. You might consider testing your ability. If it is difficult, can practicing with a stand by assistant help you develop this skill? Don’t wait until you fall down to work out how to get up. If you practice getting up and down from the floor on a regular basis, you might be surprised by the results.

If You Fall
A sudden fall can be startling and upsetting. Knowing what to do if a fall occurs can help you or a loved one be less afraid of falling. Whether you are at home or somewhere else, the steps below, provided by NIH Senior Health, can help you know how to get up from a fall.

Remain still on the floor or ground for a few moments. This will help you get over the shock of falling.
Decide if you’re hurt before getting up. Getting up too quickly or in the wrong way could make an injury worse.
If you think you can get up safely without help, roll over onto your side.
Rest again while your body and blood pressure adjust. Slowly get up on your hands and knees, and crawl to a sturdy chair.
Put your hands on the chair seat and slide one foot forward so that it is flat on the floor. Keep the other leg bent so the knee is on the floor.
From this kneeling position, slowly rise and turn your body to sit in the chair.
If you’re hurt or can’t get up on your own, ask someone for help or call 911. If you’re alone, try to get into a comfortable position and wait for help to arrive.
When someone has a serious fall and, for example, breaks their hips, they can feel that the situation is the beginning of the end. A fear of become increasingly frail and incapacitated can set in. Care.com has offered some helpful suggestions to help the elderly cope with depression after a fall. Here are some things you can do:

Empathize with your parent’s feelings.
Don’t minimize the situation, but remind your parent that it is temporary and that he or she will become more fully mobile little by little.
If your parent continues to feel depressed, tell the doctor and make sure the depression gets treated and starts to improve.
Any exercise that your parent is able to do will help improve his or her mood.
Conclusion – Address the Fear of Falling, Eliminate Risk, and Find Ways to Cope after a Fall

Each year one in three seniors will have a fall. Unfortunately, there is a common pattern when it comes to falls among the aging: risks increase, fear of falling ensues, the fall and subsequent injury, followed by hospitalization, rehabilitation, decreased independence and mobility, and often relocation to a nursing or residential care facility. One serious fall can be life changing.

Simple home modifications, the use of assistive devices, wearing sensible footwear, and removing hazards can reduce the risk of falling and the injuries that come with it.

If you’re worried about falling or having another fall, talk with your doctor or another health care provider. Getting rid of your fear of falling can help you to stay active, maintain your physical health, and prevent future falls.

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Preserving Assets and Transferring Assets to the Next Generation

Older Americans control a large amount of the wealth in this country and have a continued interested in protecting that wealth from loss. Older Americans also want to stretch their assets out as long as possible in order to avoid running out of money well before they die.

As Americans age many look for ways to preserve, maintain or transfer their assets. Whether the assets are many or few, there are steps that can be taken to further secure and maintain a distinct lifestyle.

 

Reasons for Preserving Assets

 

Provide Assets and Income for a Surviving Spouse

Though tragic, when a spouse of a couple dies, income is usually reduced through loss of Social Security income or reduction of retirement pension. This can be especially hard for the surviving spouse having to learn to live on less and prepare for following years.

 

Protect Assets and Income from Deterioration or Loss of Property

Unexpected property loss may result in a drain on available cash assets. You might have damage to a vehicle or even to the home. Lack of regular maintenance or damage may result in expensive repairs. There are estate preservation strategies which strive to recognize these losses and to provide potential solution to avoid these losses with adequate insurance coverage. In additional, help may be sought through grants, tax credits, and other programs that provide maintenance or savings on utility bills.

 

Maintain Assets to Pay for Medical Care and End-Of-Life

Paying for Medicare supplement policies, medical co-pays and the cost of prescription drugs not covered by insurance can reduce available assets. Costs associated with dying can drain the estate. Strategies are designed to identify these costs and to deal with them while assets are still in place to provide protection.

 

Maintain Assets to Pay for Long Term Care

The need for long term care often occurs at the end of life. Unfortunately, this is the time when assets are already being stretched thin. The cost of home care or assisted living or nursing home care can be very expensive. Assets that have taken a lifetime to accumulate can be wiped out in a matter of months. Strategies are designed to take advantage of government programs to cut down on the burn rate of assets when the need for care occurs.

 

Compensate Children or Grandchildren for Their Sacrifice

It is very common for children or grandchildren to put their own lives on hold and to sacrifice their time and their income to care for loved ones in their final years of life. It is only fitting that any assets remaining should go towards helping family members get back on their feet after the sacrifice of months or years providing care.

 

Provide an Inheritance for Children or Grandchildren

Many seniors have worked hard their whole lives to accumulate cash savings, investments and a fully owned personal residence. It does not sit well with these people to have to put out money at the end of their lives for such things as health care, long term care or maintenance. They prefer to have their children have the money. Many aging seniors will actually forego medical care or long term care or maintenance on their property to leave more money to their children.

 

Transferring Assets for Tax Planning or to Qualify for Government Programs

Many elderly look to the government to help them pay for to pay for home care, assisted living, or nursing home care. At least two government programs may be able to help pay for this care but do prevent participation for seniors who have too much in assets. These two programs are the Department of Veterans Affair’s Pension Benefit (more commonly known as the Aid and Attendance Benefit) and Medicaid long term care for the elderly. In order to qualify, eligible participants must have little or no money in cash equivalent assets. Some individuals use strategies to transfer the assets out of the name and control of persons eligible for these programs and thus allow participation in the programs.

There are also a number of government programs that help rich and poor alike without consideration of assets. Medicare, for example, is funded through premiums by participants and directly through the Federal general fund from taxpayer dollars. In general, all persons 65 years of age or older who have been legal residents of the United States for at least 5 years are eligible for Medicare.

 

Another area where there is a no discrimination between those having assets and those without assets is tax planning. Some individuals use strategies to take advantage of the deductions available to senior households.

Seniors and their families should use caution as they considered using asset preservation and tax planning strategies to qualify for government benefits or to avoid paying high taxes.

 

Estate Planning & End-Of-Life Issues

A key deficiency in the process of preserving or transferring assets occurs when seniors fail to provide for orderly distribution of assets at death or fail to let their family know what to do when the senior can no longer handle his or her own affairs.

 

Estate planning from a qualified estate planning attorney, a financial adviser who specializes in estate planning or a CPA planner is the design and creation of documents to provide the orderly transfer of assets and property to the next generation. Wills, living trusts and a myriad of other trust documents or business arrangements to avoid estate taxes, income tax and real estate capital gains are some of the principal documents used. Estate planning also concerns issues of business succession or disability of a business owner.

 

Many estate planners are also adding final directive or end-of-life documents such as living wills, powers of attorney and special medical directives. But often these are considered secondary to the process of transferring assets or property. Unfortunately, these documents are much more important to family caregivers dealing with the needs of elderly loved ones.

 

Estate planners also need to become more involved in the planning process for long term care by helping in the production of a written long term care plan. This should also include meetings with potential family caregivers and instructions or checklists for these people. This important aspect of planning is often overlooked.

 

Elders or their families who are assisting them should insist on more careful planning for long term care issues when doing an estate plan.

 

Advanced Wellness GCM Inc. can help you plan to preserve you assets

We can provide a listing source of community care providers and advisers who can help the public keep, transfer and protect what assets they have from loss. For questions about any of these topics contact us here(click to the right) or attend one of my seminars(click to the right).

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Vietnam and PTSD – 40 Years Later

40 years ago – May 7th – marked the end of the Vietnam War. Many of those alive 40 years ago can still easily recall where they were on the 7th of May and what they were doing on that memorable day. Some are still mourning those who didn’t return home. Many of those who did return home, returned to bitter feelings towards the war. Public opinion of the war was very negative. So negative, in fact, that service members (even cadets) were told to not wear their uniforms in public places. Many were afraid to reveal their service to strangers. The negative public sentiment surrounding Vietnam Veterans remained for years. 58,000 brave men and women gave their lives and those who returned, though just as brave, were forced to hide one of the most traumatic events of their lives.

 

Imagine joining the service in the 1960s or being drafted for a war that very few people knew the U.S. was fighting. Now imagine (after joining), fighting a war in a foreign country, being far away from home, surviving the war, then being forced to feel shame for fighting and having to quietly endure the mental hardships caused by the war for years.

 

Post Traumatic Stress Disorder, or PTSD, was not officially recognized until 1980 when the American Psychiatric Association added PTSD to the Third Edition of its Diagnostic and Statistical Manual of Mental Disorders. Unfortunately, it wasn’t until 1989 that a Congressional Mandate (PL 98-528) addressed the needs of Veterans and other trauma survivors with PTSD. Then in 2010, VA Secretary Shinseki reduced the medical evidence needed by Veterans who were seeking health care and disability compensation for Post-Traumatic Stress Disorder. Shinseki simplified the application process which allowed for faster and more accurate decisions and quicker access to medical care for Veterans with PTSD. For years, Vietnam and pre-Vietnam Veterans had very few resources and struggled to access the healthcare and financial resources that are readily available to veterans today.

 

PTSD has existed in many forms throughout the ages. Though fictional, Shakespeare’s many characters displayed symptoms of PTSD. Before the official term of Post Traumatic Stress Disorder, those with combat experience were deemed “Shell Shocked”. Many times, Shell Shock / PTSD was mistaken for cowardice. In 1943, Lt. General Patton encountered and American Soldier at a hospital in Italy, this soldier was recovering from what was then called “nerves.” Patton slapped the soldier and called him a coward. An even more saddening account was uncovered more recently when, in 2006, the British Ministry of Defense (BMD) pardoned 300 soldiers who were executed for cowardice and desertion during World War 1. The BMD concluded that many of these soldiers were probably crippled by PTSD.

 

Not only were Vietnam Veterans coming home from war not allowed to talk about their service but they were told what they did was wrong. Unable to understand their feelings and unable to talk about it, many returning service members relationships struggled, they were unable to get work and life became increasingly difficult. This hits home for me, my father in-law was drafted for Vietnam. He returned home and although he married almost immediately after, the marriage didn’t last. He ended up married multiple times and had two children. He remains a person who would rather not talk about the war and prefers not be around others who have been in the war. He was diagnosed with PTSD in the last few years but refuses to believe the diagnoses and get any treatment. Though he believes he does not have PTSD he cannot watch movies with violent war scenes or be around video games with life-like war situations.

 

In 2011, 476,515 veterans with primary or secondary diagnosis of PTSD received treatment at Department of Veterans Affairs (VA) medical centers and clinics. According to the VA about 5.2 million adults have PTSD during a given year and only a small portion of those who have endured a trauma.

 

Our history books are littered with thousands of cases of PTSD. Fortunately, veterans in today’s society have more resources and have vastly more emotional, verbal and physical support than those who served during Vietnam Era. Many of us rarely remember how brave Vietnam Veterans were and still are.

 

Do you suspect you or a loved one may have PTSD? Find out symptoms and treatment options here or contact your mental health provider for more information:ptsd.va.gov/PTSD/public/PTSD-overview/basics/index.asp

 

Vietnam War Memorial: thewall-usa.com

 

Look up friends or family members on the Vietnam War Memorial: vvmf.org/Wall-of-Faces

 

If you are a Veteran and need help with benefits: veteransaidbenefit.org

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

What is the Difference Between Dementia and Alzheimer’s Disease?​

Understanding the differences between Alzheimer’s and dementia can be confusing. The terms and definitions of these conditions are frequently thought to be interchangeable as patients, families and caregivers come to believe that one simply means the other. Doctors and other healthcare professionals have even been known to contribute to this confusion as they tend to prefer using the word “dementia” when “Alzheimer’s Disease” (AD) is the appropriate diagnosis. “Dementia” simply sounds less frightening.

 

According to the National Institute on Aging (NIA), “Dementia is a brain disorder that affects communication and performance of daily activities and Alzheimer’s disease is a form of dementia that specifically affects parts of the brain that control thought, memory and language.

 

In other words, Alzheimer’s is a specific brain disease.  It progressively destroys brain cells causing serious issues with memory, thinking and behavior. Alzheimer’s disease is particularly common in aging people and is the most common cause of dementia.

 

On the other hand, when an individual has dementia they are dealing with a set of unhealthy symptoms that affect the brain. It is often difficult to pinpoint exactly what is causing dementia beyond old age and frailty. This is similar to a headache. There is an obvious “ache” yet it is not instantly understood what is causing it.

 

Examining dementia and Alzheimer’s disease separately can help breakdown the differences.

 

What is Dementia?
Dementia is an all encompassing term for a group of “symptoms including impaired thinking and memory. It is a term that is often associated with the cognitive decline of aging. Issues other than Alzheimer’s can cause dementia. Other common causes of dementia are Huntington’s Disease, Parkinson’s Disease and Creutzfeldt-Jakob disease.”

 

The most prominent symptom of dementia is memory difficulty. Other areas of cognitive functioning to which dementia can be attributed include problem solving, spatial skills, language, attention, judgment, or organization.

 

The National Institute of Neurological Disorders and Stroke defines dementia as a “word for a group of symptoms caused by disorders that affect the brain. It is not a specific disease. People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there.”

 

There are many possible causes of dementia, some of which are reversible such as certain thyroid conditions or vitamin deficiencies. If these issues are identified and treated, the dementia reverses and the individual can again begin to function normally.  “However, most causes of dementia are not reversible. Rather, they are degenerative diseases of the brain that get worse over time. The most common cause of dementia is Alzheimer’s, accounting for as many as 70-80% of all cases of dementia.”

 

What is Alzheimer’s?
Alzheimer’s disease is named after Dr. Alois Alzheimer. In 1906, Dr. Alzheimer discovered changes in the brain tissue of a woman who died from an abnormal mental illness. She suffered from memory loss, language problems, and unpredictable behavior. After she passed, Dr. Alzheimer examined her brain and found many abnormal clumps of protein plaques and tangled fibers.

 

Alzheimer’s disease is now recognized as a specific and progressive brain disease that causes dementia. It destroys brain cells which in turn impairs memory, thinking and behavior. These problems are generally severe enough to affect employment, hobbies and social life. Alzheimer’s progress slowly and, over time, is fatal. A person with the disease may experience a gradual decline in cognitive abilities over a period of several years. [3]

 

Alzheimer’s disease is particularly common in aging people and is the most common cause of dementia, accounting for 50 to 70 percent of dementia cases in people ages 65 and older. As many as 5.3 million Americans are currently living with Alzheimer’s disease, and it’s the sixth-leading cause of death in the United States, according to the Centers for Disease Control and Prevention.

 

Alzheimer’s symptoms include “getting lost, asking repetitive questions, experiencing difficulty handling money and paying bills, having poor decision-making skills, frequently misplacing items and undergoing personality changes. Those with Alzheimer’s also tend to take longer than before to complete normal daily tasks. As Alzheimer’s progresses and becomes severe, people may lose the ability to communicate and recognize oneself or family members.” [4]

 

Summary
Understanding the differences between Alzheimer’s and dementia is not always as easy and straightforward as sorting out definitions and terms. People and the challenging disorders of behavior some face are far more complex than simple definitions can imply.

 

For simplicity’s sake, Alzheimer’s is a specific brain disease and dementia is a symptom of cognitive disorders that affect the brain. “Dementia” is not a disease and is a term that has begun to replace the dated word, “senility.”

 

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

Downsizing, Organizing, Handicap Remodeling or Relocating

When Robert and Anne bought their family home thirty years ago, their plan was to live through retirement in this home. They had furnished their home with refurbished antiques acquired from their many trips together. It was one of their cherished antique coffee tables that Robert tripped over, breaking his hip. Now with his return from the hospital in a wheelchair, the overwhelming task of making their home accessible for Robert’s wheelchair and safe for both of them faced Anne.

 

Remodeling for wheelchair access, organizing home furnishings and daily living items or downsizing and relocating to a smaller living area are monumental tasks that are many times thrust on senior home owners. Sometimes the need to do this is brought on by injury or age related illness. Home and yard maintenance can become a daunting chore for even the healthiest of seniors, requiring them to make a downsizing decision.

 

There is a large and growing industry of specialists who understand these challenges of elderly homeowners and are ready and willing to help with remodeling, organizing or the sale of the home and with the move to a new location.

 

A professional organizer provides skills in making the home safe and manageable. Relocating furniture, removing hazards such as electrical cords, throw rugs, heavy objects on shelves that might fall are some of the ways they make a home more senior friendly. They specialize in helping seniors part with items that clutter or have no valued use, so to make rooms less crowded or to make ready for a move to a smaller living space.

 

Handicap remodeling services and senior safety services offer help in adding wheelchair ramps and widening doorways. Bathrooms are made more accessible and safe, with hand rails, walk-in bath facilities and easier access to toilets.

 

If moving to a smaller retirement home or care facility is the best solution there is another senior specialty provider to call on called a Seniors Real Estate Specialist.

 

The Senior Real Estate Specialist concentrates more on a complete service package for the sale of the property and/or the purchase of a new living arrangement. The specialist also arranges for the services of a relocation specialist or Senior Move Manager to provide a complete, stress-free package for the elderly homeowner.

 

A move often requires downsizing and getting rid of a tremendous number of acquired possessions. The relocation specialist or Senior Move Manager, as they are often called, will typically provide a turnkey operation that includes assessing and identifying items to keep, arranging for auction or other disposal, cleaning the home, moving the belongings and setting up the new residence. The manager may also work closely with a real estate agent to arrange for the sale of the home and may also be involved in the financial transactions necessary to move into a new living arrangement.

 

All the help available to seniors may in itself be overwhelming. How do seniors choose the right service provider for their needs? How do they know they will hire someone qualified, responsible and honest? Area Agencies on Aging and State Better Business Bureaus are good resources to check out available service providers.

 

Family, friends and religious leaders can be valuable resources to seniors in referring service providers and helping to manage the hiring and supervision.

 

The National Care Planning Council’s website www.longtermcarelink.net provides educational articles and information on eldercare providers throughout the nation.

 

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar. 

The Perfect Holiday Caregiver: It’s all a state of mind

The holidays are always a wonderful time of year for family gatherings, reflection on what we have and the spirit of giving. The television is packed with specials showing relationships and families coming together for the holidays.

 

But the holidays can also be a time of stress and sadness for those who are caring for family members that are struggling with health problems, frailty, dementia and loss. Those who care for these individuals may feel overwhelmed, frustrated, depressed or resentful as they watch “perfect” families enjoying the holidays. There are many surveys and documents that show that caregivers are highly susceptible to these feelings. If you are a caregiver, there are measures you can take to avoid this.

 

First; Remember, that you are not alone.

 

If you are new to caregiving or have been caring for someone for a very long time, remember that the perfect family on television is not reality for many Americans. You are not the only one with these challenges. A recent study by the National Alliance for Caregiving and AARP found that 44.4 million Americans age 18 or older are providing unpaid care to an adult. In fact according to the survey provided by the National Family Caregivers Association:

  • The typical caregiver is a 46-year-old Baby Boomer woman with some college education who works and spends more than 20 hours per week caring for her mother who lives nearby.
  • Female caregivers provide more hours of care and provide a higher level of care than male caregivers.
  • Almost seven in ten 69%) caregivers say they help one person.
  • The average length of caregiving is 4.3 years.
  • Many caregivers fulfill multiple roles. Most caregivers are married or living with a partner (62%), and most have worked and managed caregiving responsibilities at the same time (74%).

 

Second; Find help.

 

There are many resources available to a caregiver. Some of these include family members, friends, a local religious group, elder care agencies and homecare providers. The internet provides many great resources and help. The National Care Planning Council offers many articles, brochures and local referrals to help caregivers find the help that they need.

“When my husband’s stepfather was released from the hospital in December of 2009, he called us to give him a ride home. Once he was home, we quickly realized that he was not able to care for himself at all. He lived alone and we found ourselves driving back and forth three or four times a day to assist all of his needs. It was overwhelming and frightening to suddenly become a caregiver to a man we weren’t even that close to. With my husband working full time days, I became his primary caregiver. I would pack up my two little girls every day to come with me to take him to the doctor, do his laundry and feed him his meals, do his grocery shopping and help him with his bills. I had no idea what his finances were like or how to pay his medical bills. He was too sick to care or even understand what I was saying to him. I quickly realized I was going to have to find help. First I called his children. They were sympathetic, but gave all kinds of excuses as to why they could not help. Next, I went to the internet. I went to the website for National Care Planning Councilwww.longtermcarelink.net and found and contacted a Care planner in my area. The Care Planner came to my stepfather’s house and met with the two of us. They helped me get organized and set up time to meet with someone to explain his Medicare services and what my next steps would be. It was such a relief to have a plan and to know what to do.” MH- Salt Lake City, Utah

 

Most family members are willing to help, but just don’t know what to do. Many caregivers feel that they are the only one who can give the best care. It is important to communicate with other family members about what kind of help you need and let them know specifically what they can do.

 

A number of organizations and private companies will give you advice and guidance — many for free. If your care recipient has a very low income, you might get free help from your local Area Agency on Aging. A lot depends on available funds. Click here for a nationwide list of agencies.

 

A good source for professional advice is the rapidly growing business of non-medical home care companies. Most will offer free consultations and will provide paid aides to help you with your loved-one with such things as bathing, dressing, shopping, household chores, transportation, companionship and much more. These people may also help you coordinate adult day care or other community services.

 

You may wish to pay for a formal assessment and care plan from a professional geriatric care manager. Even though it may cost you a little money to hire a care manager, this could be the best money you will ever spend. Care managers are valuable in helping find supporting resources, providing respite, saving money from care providers, finding money to pay for care, making arrangements with family or government providers and providing advice on issues that you may be struggling with.

 

Lastly; it is important to take care of yourself first in order to give effective and loving care.

 

Stephen Covey tells a story in his book The Seven Habits of Highly Effective People about a man who is sawing a tree. A woman approaches and asks the obviously exhausted man how long he has been sawing the tree. He tells her that he has been there for hours.

 

She says “Well, I see that your saw is dull, if you would just sharpen your saw you would be able to saw it much faster and with less effort.”

 

He replies, “I don’t have time to stop and sharpen my saw, I need to chop this tree down now!”

 

It seems pretty silly that the man just doesn’t stop for a few minutes to make the work easier. It is common for caregivers to do the same thing. They focus on caring for their loved one and run themselves down instead of stopping to “sharpen their saw”.

 

Covey states that “sharpening the saw” is to take care of yourself by keeping your physical, mental, emotional and spiritual self balanced. There is joy and respite in balancing all of these areas in our life. This is what makes us efficient and happy. Here are some ways for you as a caregiver to sharpen your own saw:

  • Maintain a positive attitude. Take time to be grateful for everything that is good in your life. There is always something. Adjust your expectations for the holiday season. If you aren’t expecting that perfect holiday family picture, then you won’t be angry and frustrated that it isn’t something you have right now. It is always possible to change your attitude and perceptions, but it is not always possible to change your circumstances.
  • Eat healthy food and be sure to get some exercise. Do this in small increments if it is too overwhelming to plan menus. Drink more water, cut down on sugary snacks, pick up some vegetables and fruit to grab. Walk or do marching in place. Run or walk up and down stairs if that is all the time you have right now.
  • Forgive and let go of frustrations, anger, resentment and guilt. These are common feelings for caregivers. The best thing a caregiver can do for their own emotional health is to clear out these negative thoughts and feelings. Get counselling, talk to a friend or family member or simply write down the negative feelings to get them out of your system. Never take your anger and frustrations out on those you care for.
  • Take time to do something you enjoy and give yourself a little bit of rejuvenation everyday. Laughter is a great stress reliever. Find something funny to read or get on the internet and find a funny video to watch.
  • During the holidays, be easy on yourself. If you enjoy holiday activities, then get out there and do them. Ask someone to help with your caregiving duties even if it is just for an hour or two to shop or to see a concert or movie. There are day care facilities or home care services available for short term care. See www.longtermcarelink.net for a service in your area.

 

Being a “perfect” caregiver during the holidays does not have to look like the perfect on-screen holiday family. How you handle your circumstance will be the key to creating your own peace, happiness and cheer during the holiday season. The holidays can be a time of reflection on good things. Your attitude and a little care for yourself can make a big difference in the care that you give in the coming year.

 

 

Copyright 2017 –  Helen Justice GCM – Elder Care Navigator and Advocate – Advanced Wellness GCM, Inc

 

Known by many as “The Elder Care Navigator”, Helen Justice is a Certified Geriatric Care Manager trained to assist elders and their families with the process of aging with dignity and grace.  Her knowledge and experience insures elders obtain quality care and transitional preparation for their future.  More important than the financial aspect of aging is the social and emotional component that elder care places on the family.  Go to www.advancedwellnessgcm.com for information on no fee seminar.