Tuesday, May 31, 2011

Elder Law and 529 College Savings Plans. How does that affect me?

We plan and God laughs.  

Intentions are quickly dashed with diagnosis of Alzheimer's.
http://www.post-gazette.com/pg/11142/1148064-28-0.stm

This article makes a strong case to constantly review and work with professionals who understand elder law, financial products, and their consequences.

Please share your concerns, discussions with family members on this issue, and resolutions.  Thank you!

Online Tools for Care Coordination

Keeping track of medical history, shopping for alternative living arrangments, and discussion of financial planning under one roof is efficient.  Too many surprises with end-of-life decisions could be avoided with these tracking tools.  For those tracking their own histories ensure that someone you trust has access to your records and will follow-through with those choices.  Why was my friend surprised that two sons rather the father less literate were named executors of their mother's estate?



The following is the mission statement of eCare Diary taken from its website that is recommended by professionals in the senior care industry:

"eCare Diary is a website created based on the founder’s, John Mills, experience as a caregiver for his father who suffered from Parkinson’s Disease. Having spent over 20 years working in the health care system, John found coordinating long term care to be difficult because of the lack of good information. eCare Diary provides comprehensive information, tools and resources to help those seeking and providing long term care. A unique feature is our Care Diary, a set of online tools designed to make coordination of care and sharing of information easy amongst family members and other caregivers. eCare Diary also has a comprehensive database of nursing home and home care services, guides on long term care financing and information on important health care documents everyone should have. The site will continue to grow and more information and tools will be added in the months ahead. We hope eCare Diary helps simplify your situation by providing you the tools and information you need."

Sunday, May 29, 2011

Memorial Day Salute

 God bless those who gave their lives, veterans, returning troops, those serving, and their families.  When I read these treasured stories it remains me when my uncle's brother, Saul Goldman, joined our family gatherings in uniform in the 50s.  Treasured also were reunions of New Jersey buddies you served in separate divisions during WWII who were reunited in South Florida 50 years later. Though they lost track of each other, their reminscence included concise reference to their arenas; one could see other memories of incredible loss to their charges appear in intense exchanges of their eyes, words not to be spoken.

A special salute to Herman Rubin who forever postponed being a professional baseball player to serve his country.  To my uncle Leonard Sherman who took ill shortly after he was on base but came home to make significant differences in his scientific discoveries that, by my father's recall, others took credit for.  Bless extended family who share their presence minus their day as he is with the National Guard two weeks each summer. "Better than 18 months (in Iraq)", his 12-year-old son uttered in a quiet voice.

Silent heroes.  Thank you for going to schools and sharing your experiences through StoryCorp or family interviews as I encourage my interpersonal communication students to record.   Please share a short story about your favorite veteran or local National Guard today.

Evelyn Asher is hopeful that contined multicultural exchanges will lead to a more peaceful existence globally.

Wednesday, May 25, 2011

Why You Need Resources for Caregivers

When it comes to caring for your parents, there are a lot of different issues to deal with. By taking the time to find resources that are available, it will be much easier for you to get the outcome that you are searching for. Of course, the way that you go about caring for your parents says it all. In a recent blog I wrote about senior safety and health, I talked about the relationship between parents and children when the roles are reversed. Caring for your parents can be a very stressful situation and you really have to make sure that you are doing whatever it takes to make things right.
There are so many different resources out there that you can benefit from. You can find local groups in your neighborhood, support groups online, and plenty of informational resources like this blog right here to help you get the most from your situation. It doesn't matter if you are taking care of your parents full time or if you are just trying to keep an eye on whether they need your help or not, because education is always the most important tool in your success.

Before you get in over your head or create a stressful relationship between yourself and your
parent(s), you need to figure out where you are at and where things are going. You need to determine how much help they need, whether you can provide, and what the best solutions for everyone are. Communication is key because your parents do not want to be patronized and treated like children. Unless there is an actual physical or mental impairment that allows you to make decisions without their input, open communication is a must.
Take a few minutes today, for your parent(s), and check out the different resources and informational tools that you can find online. You will probably learn more than you expected and be able to give them the second stage of life that they truly deserve. Rather than jumping in with both feet and taking over, try talking to them about their health and utilize the information that you have found to take care of things together. With so many resources out there, it's not hard to find the ones that can help you.
Mary Albert is a health advocate for Lifestyle Health Guide, where she writes regularly on senior health and aging issues as well as medical alert systems.

Sodium Reductions Might Not Affect Heart Health

According to an article written in Time magazine, they've been doing research in Europe that proves that lower sodium intake might not actually help heart health in the long run. Studies have shown that people who have high blood pressure or heart disease would benefit from lowering salt intake. However, in a study of more than 3,500 people who didn't have heart problems, the ones who had the highest salt intake were the lowest risk for heart disease-related death. The study was done for more than eight years and those with the highest sodium levels only had a 0.8% death rate. Those with low sodium had a 4% death rate.
All the unique things that the health science world is doing today never cease to amaze me. It's like the blog that I wrote awhile back on senior safety and wellness, which talked about how education is so very important to your health. COPD symptoms can be reduced with exercise, Alzheimer's can be staved off with walking, and now apparently sodium isn't going to be terribly bad for your heart. But why is this?
According to researchers, while salt intake does affect blood pressure, it doesn't increase the risk of hypertension or a death related to heart disease. It apparently doesn't have as much of an effect as they thought, and is much less of an issue. The American Heart Association is still hard at work trying to convince people to lower their sodium intake just for the sake of their health, but there's apparently less of a connection to heart health than was previously thought.
The study does have its flaws, of course. The volunteers were all younger, so the follow-up might not have been effective enough due to the age at which these heart issues usually occur. Either way, it is a complicated issue that people have to face and learn about for themselves. Nothing is more important than being educated and you really need to read up. Medical science never ceases to impress me with its findings, but this just goes to show that you have to get the details before you tip the salt shaker.
Mary Albert is a health advocate at Lifestyle Health Guide, where she contributes regularly on health issues and medical alert systems.

Sunday, May 22, 2011

Local Community Centers Can Help You Stay Fit

I write a lot of blogs about health and wellness, as well as elderly safety. As a health advocate, it's what I know best.

So many people come to me and question where they can find exercise programs and fitness classes that suit their age and abilities. Most gyms and fitness centers don't have a lot for the 55+ crowd, but there is another place to look. In any community with a significant population of people over the age of 55, community centers and senior centers are going to be a great resource. Most towns have groups and classes that are designed specifically for older people and their unique abilities.

Let's face it. You're not 25 anymore and you probably have limited abilities, or at least a limited desire, when it comes to fitness and exercise. It's not about busting your butt in that 2 hour spinning class. It's about finding healthy, easy ways to stay active and enjoy yourself. By all means, if you want to get into extreme fitness programs, go ahead if you are capable. However, most people are just looking for a way to stay active without working too hard.

Check out your local community resources. Call around, ask about classes or programs specifically for the 55+ crowd. If you aren't sure, ask friends and acquaintances if they can recommend anything. Most athletic clubs and community centers have programs for seniors that include things like aerobics, yoga, water activities, and even jogging or walking clubs. If your local facilities don't have any of these, consider starting your own group. You'd be surprised at how many people are interested. Everyone wants to stay fit and healthy because they know that it's the key to a longer, happier life.

If you decide to start a group, you'll be able to find plenty of people to include. You will get the exercise that you want, plus you will probably make  new friends. Take time to explore your local community and find the resources that you need. If you can't find them, create them. I wrote an article awhile back, in case you need some motivation, about healthy aging and how we aren't incapable just because of our age. You can check it out at the senior safety blog I write for occasionally. Start talking to your local community resources today and find the ones that give you what you need.
Mary Albert is a health advocate and blogger at Lifestyle Health Guide. She frequently writes on topics like elderly safety, healthy aging, and medical alert systems.

Tuesday, May 17, 2011

Medical Alert Systems- Using Their Marketing to Your Advantage


Older adults have all heard about, and likely seen advertisements for, medical alert systems. They all talk about the ability to maintain independence and live a long, happy life without the need for assistance when it isn't really necessary. Most medical alert devices are advertised as the solution for the senior who needs more peace of mind or security but who isn't yet ready to move in with relatives or join an assisted living community. The marketing of these systems is so predictable that it sometimes seems monotonous. However, it can be something that you can benefit from.
I've been a health advocate for the better part of my life, and I have checked out all of the different resources available to active adults, including medical alert systems. These devices come in all shapes and styles and actually do make it much easier for adults to live on their own when they don’t want to be completely independent. Medical alert companies have worked hard to create some of the best products on the market and you should take advantage of that in your search for the best solution.
Golden Italian Charm Bracelet Plated Sign Medical Alert PhotoThese systems often come with discounts, special offers, and a variety of different benefits for active adults. When you are considering a device like this, the internet is going to be your best option for getting the deals that you deserve. Online, these systems are marketed aggressively and given rock-bottom prices for all-inclusive features and solutions. While an infomercial or a mailer insert might give a good deal, the internet is the place to go for the best deals on medical alert devices.
With the internet on your side, you can easily review the different medical alert systems that are available and find one that suits your needs. You can share information with family members to create a discussion and get the dirt on every single device that's available. Plus, you can always get the best deals. Choosing the right device for your needs is about finding what suits you best. Take advantage of the aggressive online marketing to get great deals on medical alert systems and to learn more about stylish options for your security, check out my blog: Medical Alert Systems- Choosing Your Style.
Mary Albert is a health writer for Lifestyle Health Guide, and a professional health advocate. She writes regularly on a variety of senior health issues and medical alert systems.

Tuesday, May 10, 2011

Fragile -

  From vantage points of rockers, chairs, and benches residents and guests in senior communities can breathe fresh air in South Florida or countless other alternate living accommodations across the country.   Onlookers become immune to emergency vehicles; when faced with emergency they are grateful to the medic team for transfer to the nearest medical center.

Emergencies know no boundaries.  Responses come at the most inopportune time - while caregivers are packing for a short or long-awaited trip, during traditional holiday dinners, dressing for graduation or one week after return from a parent who now exhibits different behavior.   

Last week's phone call to my mother's  line brought comfort with description of a grandson's visit, reminiscing through family albums.  This week, with stattaco emails sharing my mother's emergency hospital stay, dismantling of her apartment, and decision making for another stop on her journey, I know not to call.  I can only hope that someone will read the Mother's Day message I posted a few days ago as the card shop lacked the words to express the gratitutde for every opportunity I had been given.

Distance, early retirement, and maintenance of my home that has been on and off the market for four years have fostered challenges in long-distance caregiving.   I am grateful for my siblings' devotion the past 18 years and do what I can in communicating through reminiscing with my mother.  Everyone has a talent in the caregiving pyramid.  Please take a minute to comment and share your long distance or dominant caregiving experience.

Saturday, April 30, 2011

Living Well

Girl trip anyone? My friends' trip was not born of grade school, high school, or university reunions.  These women, authors in common, a nurse practitioner, photographer, and retreat coordinator met in our mountain community about eight years ago.  Their husbands or partner fostered their interests at home while these adventure-seeking dames explored Peru.   





Harsh mountain winters motivated other friends to rent a condo in Naples from their friends who took advantage of the real estate bust and upgraded their home. Joining them for our regularly scheduled Friday lunch with ten others, one friend laughingly admitted, "We did not miss you at all.  We had the best time in Hawaii for my birthday - the children surprised us with birthday decorations for our cruise cabin.  We had the best winter.   Turkey, more travel to my aunt's 95th birthday, then Hawaii."    How fortunate for this couple (she traveled  to Turkey with her sisters).


"Live fully" is the signature with which a favorite relative closes her correspondence.   That can translate to knowing when it is time to sell the house and enjoy a retirement community.  With those with smaller pockets that might mean selling the one-bedroom condo on two floors and moving to a one-floor ranch within her price range and delight in a two-car garage to make winters more manageable.  Another with wanderlust and a fixed income lives with high cost of energy bills, caregiving, and maintaining a home that remains on the market in another state. An arm-chair traveler for now.  Romance was intimated by another answering a personal ad for a mountain gal.   Advice?  Don't sell the house.


What travel experience is on your bucket list, have you recently enjoyed, or remains in your memory?
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Tuesday, April 26, 2011

Ethical issues

  At the personal invitation of my geronology professor Dr. Rita Gugel, the founder of National Association of Professional Care Managers (NAPGCM) visited our class at Lynn University in the early 90s.  Within the next few years I enlisted the help of a professional geriatric care manager to address a caregiving situation that ultimately provided opportunity for my second husband's distant four children to care for their father, albeit long distance.  "I won't come until my father is situated", are the dispassionate words heard from one son.  

Wanting to do the right thing, I found a level of care that mirrored Mr.S.'s lifestyle, ensured he was settled and visited from time to time in the assisted living community and hospital to ensure staff knew there was someone local who observed his care. 

The one-hour assessment by the professional care manager was the best $200 I ever spent.  My children deserved me to present in their lives and share their joy.

And now it is time again to call on professional care management, to call on professionals who are familiar with levels of care for dementia and ensure transition sans physical and emotional challenges of family, near and distant.  Far too personal when it comes to a parent.   "I just cannot do it anymore" echoes from various challenges within a family including finances, introduction of extended family with different history.  


The terse words of management eager to make way for "healthier" residents are 360 degrees of the welcome less than two years ago.   Ethical issues in discharge, a webinar offered by SeniorBridge this month, is one that professionals in aging need to hear. Consider discharges from hospitals, rehab centers, and communities.  What is the appropriate setting, timing?   What has been your experience in handling transitions of family members or close friends.  Did you handle the move(s) yourself ? Did you call on a professional care manager?   If so, what is a positive experience or one that could have been improved?  Share with us so others can benefit.  

Friday, April 15, 2011

Caregiver Role Reversal

The contents of my friend's  weekly email exchange read: 
"...one of my mom’s caregivers had a fall last week and dislocated her shoulder.  She’s not much older than I am but she has a very sedentary life and she seems in much worse shape than my mother.  Our church group has been having to bathe her, cook and drive for her.  I had her here for dinner and my mother was taking care of her and cutting her food….she felt great to be the caregiver for a change and she loved it.  Anyway, it got me thinking about taking better care of myself and not giving in to old age."
     . This reminds me of my mother, 98, who is every bit the hostess she always has been.  From her senior living apartment she is eager to share her bounty of yogurt, bottled water, bananas, or sweets.  She can readily replace a banana from the community's basket in the lobby or ask for one in the dining room.  Readily translates to walking what seems greater distances with a walker after hip surgery.  What continues to inspire you in the actions of courageous elders?

Wednesday, April 06, 2011

Why I Love My Doctor- We're Not Dead Yet

When I retired, I moved back to the area where my children grew up so that I could be closer to my family. As such, I had to go through the motions of changing everything. I changed doctors, most notably. I spend about 3 to 5 hours a month at the doctor, which doesn't sound like a lot but it sure isn't a walk in the park. Since I'm there a lot for checkups and other tests, I need a doctor that I feel comfortable with and can trust. I made the mistake of hiring the first doctor that I found, and quickly realized that I needed a better solution. The mistake? Let me explain.


I had been spending the day with my daughter, who just insisted on riding along with me to my appointment. She likely wanted to see and hear for herself that I was (or was not, perhaps) healthy. So I conceded and she came along. Mind you, this was only the second time I had been to see this doctor. I could have been his mother, too. He was fresh out of medical school and you could tell. But that day, it was painfully obvious that he'd missed the course on bedside manner and patient communication.

He came into the room, talked to me, talked to my daughter, and went about his business. As the appointment went on, I began to notice that he spent far more time talking ABOUT me to my daughter, as if I wasn't even there. After about 20 minutes, I was exasperated. I looked him straight in the face, excused myself, and said

"I'm not dead yet, you know."

He got a startled look on his face, and chuckled, as if I was joking before walking out of the room. In the process of finding my current doctor, whom I love dearly, I went through about 5 or 6 who all did the same thing. I made it a pet project, of sorts, and took my daughter along just to prove a point: doctors tend to treat older people like children who can't understand them. We understand just fine. As a health advocate, I am advocating for better education on patient communication. We ARE the patients, after all.

Contributed by Mary Albert, a blogger for a senior lifestyle web site that provides advice for the 55+ age group as well as medical alert reviews

Thursday, March 24, 2011

Evasive talk about emotion

Acknowledging my co-authoring a gerontology text entitled Conversations: Effective Communication with the Elderly, my dear friend in her early 80s sent me this article.  http:/www.nytimes.com/2011/03/08/opinion/08brooks.html

How many times do families, like mine, gather and talk about material things rather than about emotion?  My siblings are 65, 75, and 75 - not a typo.  Talk is centered around accessories in the house, golf games, travel, grandchildren, food, the world situation.  Doctors, but not chronic illness.   Cars but not individual financial challenges.  Healthcare but not about Medicare supplements, long-term care insurance - reasons people are working well into their 70s if given an opportunity.   My father, a pharmacist, worked until he was 83, because he wanted to serve the public.

Note in David Brooks' article the range of deep talents which span reason and emotion and make hash of narrower definitions of IQs, degrees, and professional skills.  Brooks cites "Limerence: This isn't a talent as a much as a motivation."  And so some siblings must delay a mortgage payment in order to purchase airfare to respond to crisis, a last opportunity to see a loved one. 

What common threads of understanding or lack of understanding have you witnessed as primary caregiver or a long-distance caregiver trying to keep your head above water while your feelings are being questioned?

Tuesday, March 08, 2011

Social Networking and Caregiving

My friend has been a caregiver for her mother for sixteen years in my friend's home, including years of raising a young family.  Today she wrote that her mother, at 91, struggled halfway through writing a birthday note to her other daughter who lives a gazillion miles away and was confused with layers of clothing.  Though my friend has chosen not to share her journey with the world others take advantage of new technology whether by choice or by prescription.  

I remember having to convince my public policy professor to accept a research paper on telemedicine in the mid-90s.  Today one can readily access Telemedicine and e-Health as a 10-issue journal and its bi-weekly sister newsletter. http://www.liebertpub.com/products/product.aspx?pid=54 According to its website, "Telemedicine and e-Health covers all aspects of clinical telemedicine practice, technical advances, medical connectivity, enabling technologies, education, health policy and regulation and biomedical and health services research dealing with clinical effectiveness, efficacy and safety of telemedicine and its effects on quality, cost and accessibility of care, medical records and transmission of same."

Elders, caregivers, physicians, staff , and vendors are comfortably assured when virtually assessing, treating and monitoring chronic illness.  A video of an elder's home shared with an Aging in Place specialist can institute low cost modifications (compared to annual cost of assisted living).  Social networks where families can establish virtual support keeps long-distance caregivers informed and aids in decision making.

http://www.igi-global.com/bookstore/chapter.aspx?TitleId=42678

Tell us about your caregiving experience incorporating gerotechnology devices, telemedicine, and/or social networking.

Wednesday, February 16, 2011

Coping with Sudden Change


Update on Sarah. Don't you love the crisis subject lines? OMG. We were supposed to share theatre with Sarah and her husband on Sunday, arrangements made less than a week ago. What happened? Sarah, 65, fell halfway down a staircase in the home she and her husband lived for nearly 30 years. Looking to the future when they might not be able to step over a tub, they remodeled a bathroom on the first floor to include a shower. How welcome that convenience will be once she returns from physical therapy.

Living two hours away I was unaware Sarah was using crutches for a knee problem as my quiet partner had not mentioned that after conversations with his brother. I can only assume Sarah was putting off knee replacement until the school program she retired from but still was involved with completed its academic year. And until she was there for her children or could attend a family celebration. We all know procrastination when it comes to personal challenges that requires recovery time and, heaven forbid, accepting help from others.


Then there is my friend Kathleen, a bubbly, savvy 65. Kathleen is about to marry her Internet sweetheart. The duo have biked from GA to the NC mountains more than once and are planning more trips with biker friends. Recovering from minor surgery she is planning her backyard wedding while treating emergency hospital visits for her sweetheart as blips on the screen.

Why play it safe when hit with health challenges? One can moan or take the high road...or lower road as my friends Gary and Sally have done going South for three weeks to enjoy easier climes and celebrate lifelong friendships. Two surgeries for him, breast cancer surgery for her were met head on, dodging bullets finding laughter and always moving the best medicine. Who are your heroes that keep on truckin' no matter what?

Tuesday, February 01, 2011

Medicaid Dilemma

This article www.gainesvilletimes.com/section/6/article/45169 is a blatant reminder that we all need to have our voices heard on healthcare reform. Home health care agencies not accepting Medicaid patients seems like discrimination to me. As close as this family appears, everyone needs respite and professional support in caring for a loved one.

What of elders who want to remain in their homes and qualify for Medicaid? What of those elders who have managed to live in senior communities with the help of their children until constant price increases made that impossible and now need to live with a family member in their mid-90s?

One of the chapter contributors for a gerontology text I am co-authoring had to step down from her obligation. As a leader in the National Association of Professional Geriatric Care Managers this business owner and professional care manager is adding to the voices of healthcare reform. What are the challenges you are witnessing in your family, your community?

Thursday, January 06, 2011

Simultaneous Financial Struggles

Wall Street: Money Never Sleeps Poster

The recent release "Wall Street: Money Never Sleeps" illustrates behavior when financial struggles simultaneously befall two generations. A dependent mother whose real estate income is depleted in a challenging economy turns to her son when he is enmeshed in high-stakes brokering. Of course, Hollywood solved the challenge in the next half hour.

Hollywood's glamorous resoltutions differ from real-life scenarios that have temporary remedies affected by layoffs, healthcare coverage or lack of, housing alternatives, and divorce that halves emotional, physical, and financial support. I have been fortunate to know three physicians in the past 20 years who treat body, mind, and spirit sensing that physical concerns can stem from emotional concerns. Extended and daily caregiving can cause physical damage to caregivers. How many adult children share their physical concerns with an aging parent(s)...or financial challenges, if this has not been a subject between them until they come to an end of resources?

Product Details
In her book, "You Mean I Have To Look At The Body?: Stories of Dying and Living", retired minister Marcia Cham confronts her own fear of death through her pastoral experiences. Her journey, colored by humor, respectful irreverence, and honesty, helps others open dialogue about end-of-life issues.

I am eager to hear about your caregiving journey whether you are in the throes or just beginning.

Tuesday, December 07, 2010

Can You Hear Me Now?

Listening effectively helps caregivers appreciate the present trading past roles and ill feelings for the richness of life through family history. Instead of responding in anger because a hearing loss prevents one from responding appropriately or in a timely manner, try speaking slower so an elder can read your lips. Smiling helps and alleviates fright. Staying with a paid caregiver while he/she becomes familiar with your parent or spouse helps soften the atmosphere with familiarity. The paid caregiver can see how you handle situations, acting rather reacting, and we can learn from them. Some of the best caregivers are professional geriatric care managers who interact with elders and their families, sometimes through mediation, but always with the best outcome in mind. What listening method have you found to be effective? No one can hear you when your head is in the refrigerator or 1/2 way out the patio door ensuring your smoking habit does not injure the house's inhabitants.

Monday, August 23, 2010

Grandparents Raising Grandchildren

There are many struggles and rewards of grandparents raising their grandchildren. I was moved learning that there are scholarships for small entities like the Children's Playhouse in Boone (and possibly INK in Gainesville). This allows grandparents who cannot otherwise afford even the most nominal fee respite and a place to share activities with their grandchildren. http://www.goplayhouse.org/ There are also many grandparents picking up their grandchildren from school and offering care until parents return from their professional obligations. And please remember there is a population of grandparents who take their grandchildren to see their son or daughter who is incarcerated. Share your thoughts here without disclosing names, companies, or institutions to observe privacy. Where possible, provide a link to support your beliefs and inform others. http://www.aarp.org/ has ongoing discussion/resources on this issue.

Friday, September 04, 2009

Everyone Needs An Advocate

When I went for an annual checkup at a hospital-based clinic 1 1/2 hours from my home, I was fortunate enough to be accompanied by a good friend. I saw a woman staring at the office roster, unsure of the next direction in the maze to turn. A warm "Follow-me" relaxed her and replaced the angst of my appointment with gratitude that I could help someone else. Though disappointed the specialist did not have recent records I was assured were faxed a month ago, she conducted simple neurological tests that left me with renewed confidence. What style of communication has affected the way or you healthcare professional are perceived?