The Thoughtful Way to Make Long-Term Care Decisions for a Loved One

Elderly woman looking into camera

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Family is all about taking care of each other, especially loved ones who are unable to look after themselves. Unfortunately, unless you’re doing it full-time, the care you provide to a senior or disabled loved one may not be adequate, despite your best efforts. This is particularly true for those whose care and assistance needs are increasing because of medical concerns. To make matters worse, the COVID-19 pandemic is putting vulnerable loved ones in more danger, which could mean that they may not be in the safest situation at present.

For this reason, you might be facing a need to make alternative long-term arrangements for the sake of your loved one’s safety and comfort. This is, however, a delicate situation, so the following considerations can be taken to determine how to move forward with their best interests in mind.

Take stock of the situation: Is it time for a long-term care facility?

First thing’s first—before any critical decisions are made, it’s important to evaluate your senior or disabled loved one’s specific situation. This will entail taking into account several factors. No doubt, the most important consideration is your loved one’s medical needs. It’s a good idea to work with their doctor to determine what they need and the best possible place to get it.

There’s also the question of whether in-home care is an option, which can be made more feasible with home adaptations and lifestyle choices. For instance, moving the bedroom to the ground floor, implementing a bathroom remodel, and exploring grocery shopping alternatives might be all that’s needed to keep a senior safe and comfortable in their current abode.

Otherwise, a long-term care facility may be more ideal. In most cases, the latter is often the better choice as your loved one will be able to benefit from the knowledge and expertise of professionals. But of course, choosing a long-term facility also has its own considerations, too, such as the setup, personnel credentials, and what kind of care they’ll require. For instance, if they’ll need skilled nursing care and constant supervision, then a nursing home may be their best option. Be sure to carefully weigh reviews and compare costs before choosing a facility, such as reviews within the Pennsylvania area. The COVID-19 measures these facilities are taking are also essential to ensuring your loved one stays safe and healthy.

Sort out the financial kinks: How do we budget for long-term care?

There’s no other way to say it—the cost of long-term care can be higher than you may think. With this in mind, you’ll definitely need to help your loved one work out the financial aspects of this transition.

One way to ensure that your loved one is able to get and afford the long-term care they deserve is by selling their home. Of course, selling in a pandemic can be fraught with challenges, especially with social distancing rules making it difficult to stage showings and open houses. It’s a good idea, therefore, to make use of tech tools like video-chat tours, virtual open houses, and 3D walkthroughs to sell your loved one’s home at this time.

While this might sound difficult at best, these technological answers like 3D walkthroughs offer many opportunities to experience properties. From viewing in a “measurement mode”—which allows viewers to measure various components in a room, such as a kitchen island or shower stall—to viewing the floor plan, home buying and selling is made efficient and safe for everyone involved.

Look into available benefits: What is my loved one eligible for?

Finally, get to know the benefits and options available for your senior loved one’s healthcare needs. Doing so will help alleviate the financial burden of medical bills and care in leaps and bounds, so this is definitely something you shouldn’t overlook.

Medicare is, by and large, the most valuable and helpful asset your senior loved one could ever have to stay healthy, so it’s more than wise for you to know what it entails. The most important thing you should know is that you need to stay on top of your loved one’s yearly coverage, and that Medicare’s AEP, or Annual Election Period, which starts on October 15 and closes on December 7, is the only time that coverage changes can be made. It’s also important to ensure that your loved one gets the right coverage, so do your due diligence in selecting the plan the works best for them. At the very least, you’ll need your loved one’s Medicare card, last year’s healthcare bills, current medications, and diagnoses on hand.

There’s no denying that getting the best possible care and assistance for your loved one is crucial. Ultimately, ensuring that your loved one receives the best care possible as necessitated by their medical needs and the current pandemic is the best gift you can ever give them.

Look to Caregiver Corner for additional information to help you and your loved ones live fuller, healthier, and happier lives.

Post contributed by Karen Weeks at elderwellness.net

5 Strategies for Maintaining Community Connections While Aging

Community Connections for Seniors

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Aging in place may satisfy a senior’s desire for independence, but if they don’t maintain community connections, staying home could do more harm than good. While some seniors enjoy active social lives, others develop a fear of falling that keeps them home-bound more often than not. Our communities also affect seniors’ ability to stay engaged, with seniors suffering greater isolation in areas with poor walkability and limited community resources.

Staying engaged becomes much more difficult as we grow older, but it’s not impossible. With these strategies, seniors and their caregivers can avoid the isolation that comes with aging in place and enjoy better health while aging.

Move Downtown

Rural seniors have it harder when it comes to staying engaged. Isolation hits especially hard when rural seniors lose the ability to drive and can no longer get to their favorite activities. While moving isn’t without challenges, it’s easier for seniors to stay physically and socially active when they live in dense, walkable neighborhoods where everything they need is nearby.

When seniors need to move, it’s always better to do it sooner rather than later. Moving early in the senior years gives older adults an opportunity to form relationships and routines before the challenges of age catch up to them.

Downsize the House to a Manageable Size

Mundane tasks like cleaning the house can take a lot of energy as we get older. It’s understandable that seniors want to stay in a familiar home, but most seniors benefit from a downsized house that’s easier to move around and maintain.

Downsizing also saves money on housing costs. Even if a senior’s home is paid off, selling and buying a less-expensive home will provide a lump sum that can be used for senior care, healthcare, and other expenses. However, downsizing may not save as much money as a senior expects. Before diving seriously into the home-buying process, research home prices to get a clear picture of what you can afford and avoid sticker shock. For example, the median list price of homes in Huntingdon Valley is approximately $396,000.

Save Money with Alternative Living Arrangements

If a senior’s heart is set on an area but homes are not affordable, consider alternative living arrangements like home sharing. Sharing a home with a roommate reduces housing costs and combats loneliness for independent seniors. In some cases, a roommate may offer housekeeping or companion services in exchange for reduced rent and board.

Senior co-housing and cooperatives are other options. These communities combine private living spaces with communal facilities where seniors can connect with their fellow community members. Unlike assisted living, co-housing and cooperative communities are owned by the residents and cater to independent seniors, although residents may hire their own caregivers.

Connect with a Village

Villages are membership-based volunteer organizations designed to meet the needs of local seniors through volunteer services, service coordination, and social opportunities. While only a few communities have established villages, seniors can search for a local village organization or learn how to start a village at the Village to Village Network.

Stay Physically Active

Exercise helps seniors maintain their physical health so it’s easier to get out and enjoy life. Getting active is also a smart way to meet new people. Whether it’s a neighborhood walking group, a Zumba class (which only cost around $5 to $20 per session), or pick-up games at the local senior center, exercise allows seniors to mingle in a low-pressure environment.

Staying active also enables seniors to continue living independently. Physical exercise is the most important thing people can do to prevent Sarcopenia, the gradual muscle loss associated with senior frailty, among other age-related disabilities.

Aging in place presents many challenges, from remodeling the house for senior living to coordinating in-home care. While the challenge of senior isolation is often overlooked, it has a big impact on a senior’s ability to age in good health. By taking a community-minded approach, seniors can stay engaged, active, and independent throughout the senior years.

Post contributed by Hazel Bridges, the creator of Aging Wellness, a website that aims to provide health and wellness resources for aging seniors. She’s a breast cancer survivor. She challenges herself to live life to the fullest and inspire others to do so as well.

5 Ways You Can Plan for Long-Term Care Costs and Needs

Photo Courtesy of Unsplash

Photo: Courtesy of Unsplash

As we grow older, our health care costs tend to get a bit higher. When you or a loved one needs help from a nursing home or assisted living facility, the costs can be overwhelming. Here are a few ways you can offset those expenses and plan for long-term care before you even need it.

 Figure Out Whether Care Will Be Needed

When you are planning ahead for your health care, it helps to know whether long-term care may be needed. Statistics show the majority of seniors will need some sort of extended care at some point in their lives. Family history can have a lot to do with your need for care, especially if there is a history of Alzheimer’s disease on your mother’s side of the family. Falls can also cause seniors to need long-term assistance, so try to take steps to help yourself or loved ones age in place safely and avoid fall-related injuries. Finally, take care of your health by eating a clean diet and exercising on a regular basis.

 Use Medicare to Your Advantage

Medicare is a wonderful tool for seniors to rely on when it comes to their medical needs. But if you or a family member ends up needing long-term care, basic Medicare may not yet help you when it comes to covering the costs. The good news is, however, that there are several supplemental Medicare Advantage plans that can offer more help with prescriptions, vision care, and dental care, and by saving on these expenses, you can tuck more funds away to provide long-term care. if you are currently eligible for Medicare or are nearing the age of eligibility, it’s important to get a better understanding of how to navigate some of the vital Medicare open enrollment dates, so read up on those first and plan ahead of time.

Understand Long-Term Care Insurance

If you are only planning for long-term care needs, then you may want to look into information about long-term care insurance. Getting this sort of supplemental coverage can be a bit expensive, but it can give you peace of mind if you are worried about you or a loved one needing care. Long-term care insurance typically costs less if you are younger and in good health, so start planning for this coverage option early to get the best deal. Otherwise, your rates will go up as you get older, particularly if your health begins to decline.

Know How to Use Benefits and Other Insurance

For adults who have served in the military, long-term care costs may be covered by the benefits provided by the VA. Eligible veterans and spouses can cover their care costs through pensions and possibly by adding the Aid and Attendance benefit. You may also be able to use life insurance policies to cover care costs as well. Many policies allow you to cash out or sell your life insurance to get the cash you need. This option can come in handy when the need for care comes up suddenly.

 Look Into Home Equity Options

Another way to pay for unexpected expenses associated with long-term care is to use the equity built into a home. If you or your loved one will make a permanent move, the most beneficial option may be to sell it and use profits to pay for care. For individuals who need to remain in their homes, there are still viable options to get the extra funds they need. You can take out a home equity loan or look into a reverse mortgage. Reverse mortgages come with the added benefit of not having to make monthly payments, but the house will be turned over to the lender when the owner passes away.

If you or a family member is in need of long-term care, the last thing you want to think about is how to pay for it. Finding quality care should be your top priority. By planning for costs now, you can focus on getting the care you need without worrying about how to pay for it.

Post contributed by Dana Brown at HealthConditions.Info
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Assessing and Planning for Long-Term Care Needs: Knowing Your Options

Assessing and Planning for Long Term Care

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The high cost of long-term care represents a serious threat to individuals as they grow older. It’s a problem that’s staring many baby boomers right in the face. The generation born between 1946 and 1964 is rapidly aging and many will need assisted living, nursing home and other forms of care.

Considering the costs involved, it’s vital you determine how likely it is that you or a loved one will require long-term care based on factors which can impact your health. It’s even more important to begin planning how you’ll fund the expense of long-term care. Taking action sooner rather than later can make a big difference in your health, lifestyle and financial situation.

Planning

The choices you make today can have a tremendous impact on your life 20 or 30 years from now. If your doctor has advised you to get more exercise and watch what you eat, following her advice can markedly improve your health and reduce the likelihood you’ll need long-term care. If your job is highly stressful, taking steps to deal with it, perhaps through exercise, yoga and meditation, may represent an important and positive lifestyle change. Anything that reduces your risk of developing cardiovascular disease, obesity, diabetes, cancer and other serious health care risks will likely help you avoid needing long-term care in the coming years.

If Alzheimer’s disease is common in your family or if there’s a history of heart disease or cancer in your genetic background, it’s probably in your best interest to begin planning ahead for long-term care. There are more options available these days, such as assisted living, home health services, adult day care, independent living and hospice care, and many ways you can prepare for assuming those care costs.

Paying

There are several factors to consider when it comes to paying for long-term care. If you’re in your 50s, consider taking out a long-term care policy (some financial planners advise doing this earlier). Or, if your employer has a health savings account (HSA) option, you can make contributions that are fully tax-deductible and use the earnings later to help fund long-term care. An HSA, unlike a flexible spending account, rolls over from year to year and its growth is tax-deferred. It is a savings account specifically designed to help you pay for medical expenses.

Many people use a reverse mortgage to free up money for long-term care. A reverse mortgage allows you to borrow against the value you’ve accumulated in your home, and your lender makes payments to you computed based on a percentage on your home equity. Credit requirements are modest, and you can remain in the home even if your debt exceeds the value of your home. Be aware of the pros and cons of reverse mortgages. For example, your debt will increase while your equity goes down. The equity that would become part of your estate will decrease as you receive payments, and you are not the owner of your home.

A life insurance policy that generates cash value can also provide you with a funding source. You can sell a policy to generate revenue for medical expenses, “surrender” it to your insurer for a cash settlement, or make advance use of your death benefit (any amount used will count against your beneficiaries after your death).

Learning your care and payment options early and preparing for long-term care is highly recommended by financial advisers. That means it’s important to assess your needs, financial situation and consider how you might fund long-term care.

Author

June is the co-creator of Rise Up for Caregivers, which offers support for family members and friends who have taken on the responsibility of caring for their loved ones. She is author of the upcoming book, The Complete Guide to Caregiving: A Daily Companion for New Senior Caregivers.

How to Challenge a Nursing Home Eviction Notice

Nursing Home Residents - Eviction Rights          Do you know your rights when it comes to eviction from a nursing home?  “With better-paying Medicare coverage ending and being replaced by Medicaid“, evictions from nursing homes seem to be on the rise.  However, there are procedures that must be followed and rights that you have as a current resident.  This informative article posted by the New York Times includes an easy to read list of guidelines that must be followed by all registered nursing homes according to federal law.  Since most residents may be unaware of their rights, I am sharing this article in the hopes that it can help those who are or may be threatened with transfer or eviction.

Read the Article Here...How to Challenge a Nursing Home Eviction Notice, other Tips

Source: Tara Siegel Bernard and Robert PearThe New York Times

Independent Living vs. Assisted Living.
Which is right for my loved one?

As our parents or elderly loved ones age, they have numerous options when looking for the perfect place to spend their golden years. Of course, many remain in their homes. Some are looking for an easier way of life, free from the daily chores that homeownership requires, while others seek out the company of people their own age, with opportunities for socializing and daily activities. Still others require assistance with daily living, such as managing medications, dressing and bathing.

If your loved one can still do everything for themselves and would like to live among peers and enjoy scheduled activities, independent living communities – also called retirement living – are an excellent option. They offer a safe, secure and social environment for active, independent seniors.

Seniors in independent housing may live in an apartment, a small home, or a cottage. These communities usually have on-site staff members that provide a small amount of supervision and offer a “maintenance-free” living option, often providing housekeeping, laundry and dining services.

Independent living is perfect for people who:
• Want to maintain their independence.
• Want to rid themselves of the burden of cooking, cleaning and maintaining a home.
• Want more social interaction than living at home.
• Like the security of being around other people and getting some supervision from the staff.

If your loved one is still able to move about freely and is seeking a certain amount of independence, but needs help with some daily activities such as bathing, preparing meals, taking medication, or dressing themselves, an assisted living community may make sense. Residents of an assisted living community live in their own apartment and are able to come and go as they please, while receiving assistance as needed. They can dine with others in a dining room or make their own meals. Quality senior care living communities offer a variety of daily activities to choose from. At an assisted living community, your loved one will still have independence while getting the care and services they need to lead a fulfilling life.

An assisted living facility may also be able to help if your loved one still has certain cognitive abilities, but is beginning to show signs of dementia that could result in isolation, frustration, or forgetting critical tasks such as taking medication. Communities that have “memory care neighborhoods” have caregivers who receive specialized training in memory care along with added security measures to manage residents’ safety. Memory care programs can also include brain fitness exercises, memory-building practices, and specialized therapy for residents living with dementia. If a resident begins to show signs of greater physical needs, the staff will begin to talk to the family about making the transition to a skilled nursing community.

In general, assisted living communities:
• Can provide direct assistance with everyday tasks, like bathing, dressing and meals.
• Have trained staff available and monitoring 24 hours a day.
• Help residents maintain their dignity while aging.
• May have specialized units for residents with Alzheimer’s or dementia.
• Can help with transportation to doctor appointments.
• Often have busy activity calendars to keep residents engaged with other residents.

If you want to ensure your loved one can stay in the same community as their needs change, look into a Continuing Care Retirement Community (CCRC). CCRCs allow people to remain in the same familiar and comforting environment even if their care needs change. If you’re looking for one community that you can call home even as your health changes, consider a CCRC.

About the Author:
David has over 20 years’ experience as a writer and editor. Senior issues have long been his passion, and in addition to past experience writing about maintaining a healthy outlook throughout every phase of life, he has volunteered his time and skills to such organizations as Senior Services of King County in Seattle. He is one of the many expert authors who is currently writing on behalf of Emeritus assisted living communities.