Tag Archives: NJ home health care

Planning For Your Elder Years

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New Jersey Elder Planning Tips

Recent surveys among NJ elderly, find that their biggest concerns are:

1. Remaining independent in the home without intervention from others;

2. Maintaining good health and receiving adequate health care;

3. Having enough money for everyday needs and not outliving assets and income.

Pre-planning can help address these issues.  No other life event can be as devastating to an elderly person’s lifestyle, finances and security as needing long term care. It can drastically alter or eliminates the three principal lifestyle concerns above.  The majority of the American public does not plan for this crisis of needing elder care. The lack of planning also has an adverse effect on the older person’s family, with sacrifices made in time, money, and family lifestyles.  Due to changing demographics and potential changes in government funding, the current generation needs to plan for long term care before the elder years are upon them.

Here are some facts.

  • The population of the “very old,” – older than age 85 – is the fastest growing group in America. This population is at highest risk for needing care. (Statistical abstract of the United States,
    2008, population)
  • Medical science is preventing early sudden deaths, which means living longer with impaired health and greater risk of needing long term care.
  • The Alzheimer’s Association estimates the risk of Alzheimer’s or dementia beyond age 85 to be about 46% of
    that population.
  • It is estimated that 6 out of 10 people will need long-term care sometime during their lifetime.
  • Children moving far away from parents or parents moving away during retirement makes long distance care giving difficult or impossible.
  • Government programs— already stretched thin for long term care services— will experience even greater stress on
    available funds in the future.

One of the important things for planning is how to maintain your lifestyle as you age. You may be healthy enough to stay in your own home with help provided for the following activities of daily living:

  • maintaining a home
  • providing meals
  • supervision
  • companionship
  • transportation
  • shopping services

This type of care at home is non-medical and must be provided free of charge by family, friends, or volunteers or the care must be paid for out-of-pocket by the family. Government programs, in most cases, will not pay for this kind of care. It is estimated that 80% of all long term care is non-medical, with 90% of that care provided in the home.

Plan now how you will pay for care when it is needed. In evaluating your future income you may find it necessary to add some resources such as long term care insurance to pay for assisted living or nursing home costs. Long term care insurance must be purchased while you are younger and healthy. Failing health, stroke or other aging issues will not allow you to qualify for this insurance.  A reverse mortgage will also help pay for home care if staying in your home is an option.

Consider where you may want to live in your elder years. Many assisted living facilities offer complete care alternatives with a nursing home wing if needed. Senior retirement communities also offer many amenities with some including home care options.  Now is the time to do estate planning. A professional estate planner will give you direction on how best to protect your assets for future needs and for Medicaid planning.  Now is the time to create your trusts, will, medical directives in a living will and any other documents you want noted for future use. Gather insurance policies and bank records where they can be found by family members in case you are not able to get them yourself.

The process of long term care planning involves the following four
principles:

1. Knowledge and preparation are the keys to success.
2. Having funds to pay for care expands the choices for care
settings and providers.
3. Using professional help relieves stress, reduces conflict, and
saves time and money.
4. Success is assured through a written plan accepted by all
parties involved.

(The above excerpt is quoted from “The 4 Steps of Long Term Care Planning,” National Care Planning Council)

The National Care Planning Council’ s website — www.longtermcarelink.net — provides over 700 pages of information for long term care planning and lists services of professional care providers in estate planning, long term care insurance, reverse mortgage, home care and many other important long term care services.

The National Care Planning Council’ s book, “The 4 Steps of Long Term Care Planning,” provides information on what Medicaid and Medicare will cover as well as an overview of professional long term care service providers and how their services can help you create and execute your long term care plan. A check list of what to do to create a plan and forms for creating necessary paperwork are also included in the book.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ elderly, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have home care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.

Seniors and Post Surgery – 6 Tips for a Speedy Recovery

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NJ Senior Health

Here are some tips to help your elderly loved one recover from surgery:

  1. In the hospital room, whether your parent is uncomfortable and needs attention, or has a sudden turn for the worse, having a caregiver who will immediately get help could have a significant impact on your parent’s recovery.  You can work out a rotation system to provide 24-hour coverage, with each family member or caregiver sitting by the bedside a certain number of hours.
  2. Let your senior know that you are there for them either in person or by finding or paying others.  This will increase the pace of emotional recovery from the surgery.
  3. You should attend post-surgical doctors’ visits with your parent or loved one because they tend to forget what the doctor said or what they wanted to ask. Having someone take notes, ask questions and in general advocate for the patient can be tremendously helpful.  The more you understand about your senior’s condition, the more helpful you can be.
  4. Following post-surgery instructions might be a problem for your elderly loved one.  If this involves dietary changes, let them know that you realize how hard it is, but that you want them to be there for you and your family, and that following doctor’s orders will allow that to happen.  When you eat with your senior, try to restrict your own diet to the one they must follow.   If your senior was told to stop smoking or drinking, do likewise.
  5. When coping with post-surgery sleep problems, talk to the doctor about sleep medications. Relaxation techniques used before surgery have been shown to lower the degree of pain experienced by patients afterward.  The relaxation techniques also help control post-surgical anxiety and enable some patients to sleep better.
  6. You may notice a change in your senior’s personality after surgery.  Older heart surgery patients can become very emotional afterward, cry frequently, and worry about death.  As a result of anesthesia, they may have a difficult time returning to the way they were before the surgery.  In the initial stages, those reactions are normal, but if they continue, then it might be a good idea for you and your senior to seek professional help.

Posted by: Frank Esposito, Vice President of Expert Home Care.  New Jersey’s Expert Home Care provides professional and reliable home health care and companion care for NJ seniors, helping them with their daily living activities since 1984. Please call us toll free at 800-848-2336 when you have elder care related questions or need assistance for a loved one. Get a Free Home Care Assessment (a $375 value!) when you mention this post.