Caregiving Across The Miles-Tips for Successful Long Distance Caregiving
Caring for a parent or a loved one is a difficult job. Your duties as a caregiver become increasingly difficult as the miles increase between you and your loved one. The following are a few helpful tips in order to plan ahead in the event your loved one needs your help, as well as ideas on how to become a successful caregiver once your caregiving duties begin.
1. Have a discussion with your loved one. Years before the need for caregiving arises, discuss ideas and thoughts with your loved one. Discuss with them their thoughts on possibilities of relocation, assisted living or nursing home care, and end of life arrangements. Make sure all of their legal and financial needs have been met. Talking with your loved one ahead of time will make them more comfortable with the idea of needing help down the road.
2. Design a "Family Plan of Action". Before the need arises, get the family together and discuss responsibilities and divide them up accordingly. Devise a plan to keep in contact with those members who may be out of state by frequent phone calls, emails or set up a private chat room on the internet for family discussions. Investigate costs for care and travel expenses. Design contingency plans in the event that funds run out, level of care increases, and availability of family is limited.
3. Gather emergency contact information. Make a list of important emergency numbers such as out of town family members, family friends, physicians, attorneys, clergy, etc. To help preserve this list in the event of an emergency, place this list in a zip lock bag and store it in your loved one's freezer where they keep their ice cubes. Place a magnet on their refrigerator with a note as to the location of this list.
4. Gather important documents. Locate important documents such as social security card, Medicare and/or health insurance cards, legal documents such as living trusts, wills, and powers of attorney, all financial statements including life insurance information and real estate deeds. Inform the family regarding the location of these documents. Keep copies of powers of attorney in the event you need to make health care or financial decisions from a distance.
5. Organize and set up a network. Contact relatives, friends and neighbors who live close by your loved one. Ask them to routinely stop by and visit your loved one, and ask them to contact you if they observe anything out of the ordinary. Find out about community programs that provide services such as meals or transportation, and get them involved. Consider hiring a geriatric care manager to help coordinate the care.
6. Make the most of your visits. Schedule and attend physician appointments with your loved one when you are in town, and keep yourself informed with your loved one's diagnosis. Meet with members of your network, and ask them detailed questions about their interaction with your loved one.
7. Keep a journal. Take detailed notes of your loved one's care such as their progress, medications, changes in level of care, recent injuries, personality changes, etc. A journal will help keep the family organized, as well as provide helpful information for the physician or other caregivers who might be involved in your loved one's care.
8. Be observant. Be aware of changes in your loved one's personality, their appearance such as lack of grooming or soiled clothing. Verify that the mail is being opened and the bills are being paid. Set up a consistent schedule for communicating with your loved one, and pay attention to what they're "not" saying. Remember, your loved one doesn't want to give up their independence, and they may not always tell you the truth.
9. Re-evaluate the situation. Assess your loved one's situation and don't be afraid to make adjustments as the circumstances change. Don't hesitate asking for help from other family members, and investigate the potential for placement in a care facility or hiring a full time live-in caregiver if the family and physician deems necessary.
10. Care for the caregiver. Don't allow yourself to get to the point that you experience burn-out. Get help from other family members, as well as take time for yourself. Maintain a healthy diet and exercise daily. When caregiving becomes too much for the family, and the level of care is beyond your immediate resources, seek out other options. Don't let your guilt get in the way of providing the best care for your loved one, even if a care facility or full time caregiver must provide that care instead of you.
Above all, remember to allow your loved one to remain involved in the decision making process for as long as their decisions do not negatively impact their health or safety. Remember to discuss your concerns with their care in a sensitive manner. Your loved one deserves to be treated with dignity and respect. Be realistic about the situation, and in addition to looking out for your loved one's care, remember to look out for your own as well.
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You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com
When Assistance with Long Term Care Becomes Necessary
When Assistance with Long Term Care Becomes Necessary
According to the Administration on Aging, it is estimated by 2030, the older population will more than double to approximately 71.5 million. It is also estimated that between 39 to 49 percent of people will use nursing home services during their lifetime. Unfortunately, there may come a time when your loved one may require assistance with long term care. The following is a list of warning signs one should be aware of when evaluating your loved one's situation. If the senior exhibits two or more of these signs, assistance is likely required:
-When your loved one or their spouse can no longer provide care due to debilitating health conditions
-When your loved one experiences difficulty with walking, or is unsteady when standing
-When your loved one's safety is compromised due to hazards in the home such as stairs, poor lighting, cluttered walkways, and dangers in the kitchen or bathroom
-When your loved one needs assistance with daily activities such as bathing, dressing, and meal preparation
-When your loved one becomes confused about taking their medications
-When your loved one is afraid of falling or being alone
-When your loved one exhibits changes in personality or has sudden mood swings
-When your loved one is no longer able to manage their finances and requires assistance with administering their monthly household expenses
If you feel assistance with long term care may be necessary, have a discussion with your loved one and talk to them about their concerns and desires. It's important to help your loved one maintain their independence for as long as possible. Your loved one should be involved in the decision making process as long as their decisions do not negatively impact their health and safety. Talk with other family members and get their input as well. If necessary, discuss your concerns with your loved one's physician, attorney or financial advisor, and make sure all aspects of their long term care needs have been met. It's never too early to be concerned about your loved one's long term care needs. Being aware of their needs and continually reevaluating their situation will help ensure the long term needs of your loved one will be met.
________________________________________________________________________
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com
According to the Administration on Aging, it is estimated by 2030, the older population will more than double to approximately 71.5 million. It is also estimated that between 39 to 49 percent of people will use nursing home services during their lifetime. Unfortunately, there may come a time when your loved one may require assistance with long term care. The following is a list of warning signs one should be aware of when evaluating your loved one's situation. If the senior exhibits two or more of these signs, assistance is likely required:
-When your loved one or their spouse can no longer provide care due to debilitating health conditions
-When your loved one experiences difficulty with walking, or is unsteady when standing
-When your loved one's safety is compromised due to hazards in the home such as stairs, poor lighting, cluttered walkways, and dangers in the kitchen or bathroom
-When your loved one needs assistance with daily activities such as bathing, dressing, and meal preparation
-When your loved one becomes confused about taking their medications
-When your loved one is afraid of falling or being alone
-When your loved one exhibits changes in personality or has sudden mood swings
-When your loved one is no longer able to manage their finances and requires assistance with administering their monthly household expenses
If you feel assistance with long term care may be necessary, have a discussion with your loved one and talk to them about their concerns and desires. It's important to help your loved one maintain their independence for as long as possible. Your loved one should be involved in the decision making process as long as their decisions do not negatively impact their health and safety. Talk with other family members and get their input as well. If necessary, discuss your concerns with your loved one's physician, attorney or financial advisor, and make sure all aspects of their long term care needs have been met. It's never too early to be concerned about your loved one's long term care needs. Being aware of their needs and continually reevaluating their situation will help ensure the long term needs of your loved one will be met.
________________________________________________________________________
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com
According to the Administration on Aging, it is estimated by 2030, the older population will more than double to approximately 71.5 million. It is also estimated that between 39 to 49 percent of people will use nursing home services during their lifetime. Unfortunately, there may come a time when your loved one may require assistance with long term care. The following is a list of warning signs one should be aware of when evaluating your loved one's situation. If the senior exhibits two or more of these signs, assistance is likely required:
-When your loved one or their spouse can no longer provide care due to debilitating health conditions
-When your loved one experiences difficulty with walking, or is unsteady when standing
-When your loved one's safety is compromised due to hazards in the home such as stairs, poor lighting, cluttered walkways, and dangers in the kitchen or bathroom
-When your loved one needs assistance with daily activities such as bathing, dressing, and meal preparation
-When your loved one becomes confused about taking their medications
-When your loved one is afraid of falling or being alone
-When your loved one exhibits changes in personality or has sudden mood swings
-When your loved one is no longer able to manage their finances and requires assistance with administering their monthly household expenses
If you feel assistance with long term care may be necessary, have a discussion with your loved one and talk to them about their concerns and desires. It's important to help your loved one maintain their independence for as long as possible. Your loved one should be involved in the decision making process as long as their decisions do not negatively impact their health and safety. Talk with other family members and get their input as well. If necessary, discuss your concerns with your loved one's physician, attorney or financial advisor, and make sure all aspects of their long term care needs have been met. It's never too early to be concerned about your loved one's long term care needs. Being aware of their needs and continually reevaluating their situation will help ensure the long term needs of your loved one will be met.
________________________________________________________________________
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com
According to the Administration on Aging, it is estimated by 2030, the older population will more than double to approximately 71.5 million. It is also estimated that between 39 to 49 percent of people will use nursing home services during their lifetime. Unfortunately, there may come a time when your loved one may require assistance with long term care. The following is a list of warning signs one should be aware of when evaluating your loved one's situation. If the senior exhibits two or more of these signs, assistance is likely required:
-When your loved one or their spouse can no longer provide care due to debilitating health conditions
-When your loved one experiences difficulty with walking, or is unsteady when standing
-When your loved one's safety is compromised due to hazards in the home such as stairs, poor lighting, cluttered walkways, and dangers in the kitchen or bathroom
-When your loved one needs assistance with daily activities such as bathing, dressing, and meal preparation
-When your loved one becomes confused about taking their medications
-When your loved one is afraid of falling or being alone
-When your loved one exhibits changes in personality or has sudden mood swings
-When your loved one is no longer able to manage their finances and requires assistance with administering their monthly household expenses
If you feel assistance with long term care may be necessary, have a discussion with your loved one and talk to them about their concerns and desires. It's important to help your loved one maintain their independence for as long as possible. Your loved one should be involved in the decision making process as long as their decisions do not negatively impact their health and safety. Talk with other family members and get their input as well. If necessary, discuss your concerns with your loved one's physician, attorney or financial advisor, and make sure all aspects of their long term care needs have been met. It's never too early to be concerned about your loved one's long term care needs. Being aware of their needs and continually reevaluating their situation will help ensure the long term needs of your loved one will be met.
________________________________________________________________________
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com
10 Tips to Keep a Family Caregiver from Losing Their Mind
10 Tips to Keep a Family Caregiver from Losing Their Mind
Caring full time for a loved one can be a challenging task, and it takes a special person to get the job done right. Patience and compassion are the two top qualities a caregiver must possess in order to be successful. Caring for someone who suffers from Alzheimer's disease or other forms of dementia can be an uphill battle at times. This requires planning on behalf of the caregiver in order to keep from burning out. The following are useful tips on how to remain a hardworking caregiver while maintaining your sanity:
1. Maintain hobbies or interests. Find time to do the things you enjoy. You'll find that life outside of care giving has a lot to offer. By taking the time to enjoy your interests, you'll feel motivated to keep caring for your loved one.
2. Join a support group. There are many online and community support groups that offer assistance and a place where you can express your frustrations and concerns. You can find support groups at your local Alzheimer's Association or other organizations.
3. Respite Services. Take advantage of respite help made available by local nursing homes or assisted living facilities. Sometimes getting away for a short weekend helps rejuvenate your soul.
4. Get plenty of exercise. Even if walking the dog on a daily basis is all you have time for, every bit of physical activity helps reduce stress.
5. Just say "No". Be aware of your limits and don't be afraid to say "no" when feel you can't take on the extra responsibility outside of your care giving duties. You'll thank yourself in the end.
6. Keep a journal. It's important to express yourself. Keep track of your thoughts and your goals. It also helps to read and ponder past entries to see how far you've come.
7. Maintain a healthy diet. Don't skip meals and don't consume foods that may cause irritability such as caffeine. You need all the brain power you can get, and by maintaining healthy eating habits, you'll be a better caregiver and a healthier person as a result.
8. Have a support system in place. It's important to have family members available for respite care. It's equally important to connect with friends that you're able to communicate your feelings with.
9. Take frequent breaks. It is important to prevent both physical and emotional burn-out. Take frequent breaks with the help of your support system and community services such as hospice and home health care agencies.
10. Become an educated caregiver. It's important to understand the disease or condition your loved one is faced with. Having an awareness of the techniques and strategies designed solely for specific diseases will make your care giving experience less stressful. Be aware of the community services available as well as the benefits through Medicare.
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You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
Caring full time for a loved one can be a challenging task, and it takes a special person to get the job done right. Patience and compassion are the two top qualities a caregiver must possess in order to be successful. Caring for someone who suffers from Alzheimer's disease or other forms of dementia can be an uphill battle at times. This requires planning on behalf of the caregiver in order to keep from burning out. The following are useful tips on how to remain a hardworking caregiver while maintaining your sanity:
1. Maintain hobbies or interests. Find time to do the things you enjoy. You'll find that life outside of care giving has a lot to offer. By taking the time to enjoy your interests, you'll feel motivated to keep caring for your loved one.
2. Join a support group. There are many online and community support groups that offer assistance and a place where you can express your frustrations and concerns. You can find support groups at your local Alzheimer's Association or other organizations.
3. Respite Services. Take advantage of respite help made available by local nursing homes or assisted living facilities. Sometimes getting away for a short weekend helps rejuvenate your soul.
4. Get plenty of exercise. Even if walking the dog on a daily basis is all you have time for, every bit of physical activity helps reduce stress.
5. Just say "No". Be aware of your limits and don't be afraid to say "no" when feel you can't take on the extra responsibility outside of your care giving duties. You'll thank yourself in the end.
6. Keep a journal. It's important to express yourself. Keep track of your thoughts and your goals. It also helps to read and ponder past entries to see how far you've come.
7. Maintain a healthy diet. Don't skip meals and don't consume foods that may cause irritability such as caffeine. You need all the brain power you can get, and by maintaining healthy eating habits, you'll be a better caregiver and a healthier person as a result.
8. Have a support system in place. It's important to have family members available for respite care. It's equally important to connect with friends that you're able to communicate your feelings with.
9. Take frequent breaks. It is important to prevent both physical and emotional burn-out. Take frequent breaks with the help of your support system and community services such as hospice and home health care agencies.
10. Become an educated caregiver. It's important to understand the disease or condition your loved one is faced with. Having an awareness of the techniques and strategies designed solely for specific diseases will make your care giving experience less stressful. Be aware of the community services available as well as the benefits through Medicare.
---------------------------------------------------------------
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
Arizona Assisted Living Homes -- The Alternative to High Priced Senior Care
Arizona Assisted Living Homes -- The Alternative to High Priced Senior Care
The cost of skilled nursing care is slowly rising. Currently, the average cost of care in Arizona ranges from $3,500 to $4,500 per month. Skilled nursing facilities are great for seniors who require skilled nursing care by medical professionals such as registered nurses or physicians. However, is skilled nursing care appropriate for those who only require assistance with their activities of daily living (ADLs) such as bathing, dressing and going to the bathroom? Is it realistic for someone to pay $3,000 to $6,000 a month for skilled nursing care when their only requirement is assistance with their ADLs? Believe it or not, there are many seniors who do not require skilled nursing care and remain in nursing homes due to their lack of knowledge of the options available to them. There are affordable alternatives to nursing home care. When a senior requires long term care without 24 hour medical supervision, the preferred alternative is Assisted Living Homes.
You may ask, "What is an Assisted Living Home?" In Arizona, an Assisted Living Home is a regular home located within a residential neighborhood and licensed by the Arizona Department of Health Services to provide assistance 24 hours a day to those who need care outside of their own home. Assisted Living Homes are licensed for up to 10 residents. There are three levels of care an Assisted Living Home can be licensed for: Supervisory, Personal and Directed. Every Assisted Living Home is licensed for one or more of these levels of care. In sum, Assisted Living Homes are homes licensed to provide care for seniors who are no longer able to live alone, and do not require skilled nursing care.
What are the benefits of an Assisted Living Home? An Assisted Living Home gives residents a feeling of being at home instead of an institutionalized setting. Each caregiver and manager is required to become certified, and often times the caregiver or manager lives in the home full time. Each home provides 24 hours of care, 7 days a week. Many homes offer hospice care, respite care, Alzheimer's/Memory Care, incontinence care, and therapeutic services under the direction of a physician. In addition, three nutritious meals are prepared for the residents along with snacks throughout the day, as well as daily activities as required by law. Both private and semi-private rooms are available for residents to choose from. As a result, there are many benefits available when residing in an Assisted Living Home.
Why is an Assisted Living Home unique? An Assisted Living Home provides care in a home setting, and because there is a limit of up to 10 residents in each home, the ratio of caregiver to residents is such that the care provided is very individualized as opposed to larger facilities. Monthly costs for Assisted Living Homes range from $1,500 to $3,000, allowing for an affordable option compared to the cost of nursing home care. Private pay may be the only option currently offered by the majority of Assisted Living Homes. However, the facilities that do accept different payment sources such as ALTCS (Arizona's Medicaid Program referred to as Arizona Long Term Care System), usually require a resident to private pay for a certain period of time before they allow government benefits to begin. Bottom line: Assisted Living Homes are less expensive and provide more individualized care in a home-like setting.
Finally, when living at home is not an option and skilled nursing care is either out of one's budget or not the right option based upon one's level of care, Assisted Living Homes are the affordable alternative senior housing choice.
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You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
The cost of skilled nursing care is slowly rising. Currently, the average cost of care in Arizona ranges from $3,500 to $4,500 per month. Skilled nursing facilities are great for seniors who require skilled nursing care by medical professionals such as registered nurses or physicians. However, is skilled nursing care appropriate for those who only require assistance with their activities of daily living (ADLs) such as bathing, dressing and going to the bathroom? Is it realistic for someone to pay $3,000 to $6,000 a month for skilled nursing care when their only requirement is assistance with their ADLs? Believe it or not, there are many seniors who do not require skilled nursing care and remain in nursing homes due to their lack of knowledge of the options available to them. There are affordable alternatives to nursing home care. When a senior requires long term care without 24 hour medical supervision, the preferred alternative is Assisted Living Homes.
You may ask, "What is an Assisted Living Home?" In Arizona, an Assisted Living Home is a regular home located within a residential neighborhood and licensed by the Arizona Department of Health Services to provide assistance 24 hours a day to those who need care outside of their own home. Assisted Living Homes are licensed for up to 10 residents. There are three levels of care an Assisted Living Home can be licensed for: Supervisory, Personal and Directed. Every Assisted Living Home is licensed for one or more of these levels of care. In sum, Assisted Living Homes are homes licensed to provide care for seniors who are no longer able to live alone, and do not require skilled nursing care.
What are the benefits of an Assisted Living Home? An Assisted Living Home gives residents a feeling of being at home instead of an institutionalized setting. Each caregiver and manager is required to become certified, and often times the caregiver or manager lives in the home full time. Each home provides 24 hours of care, 7 days a week. Many homes offer hospice care, respite care, Alzheimer's/Memory Care, incontinence care, and therapeutic services under the direction of a physician. In addition, three nutritious meals are prepared for the residents along with snacks throughout the day, as well as daily activities as required by law. Both private and semi-private rooms are available for residents to choose from. As a result, there are many benefits available when residing in an Assisted Living Home.
Why is an Assisted Living Home unique? An Assisted Living Home provides care in a home setting, and because there is a limit of up to 10 residents in each home, the ratio of caregiver to residents is such that the care provided is very individualized as opposed to larger facilities. Monthly costs for Assisted Living Homes range from $1,500 to $3,000, allowing for an affordable option compared to the cost of nursing home care. Private pay may be the only option currently offered by the majority of Assisted Living Homes. However, the facilities that do accept different payment sources such as ALTCS (Arizona's Medicaid Program referred to as Arizona Long Term Care System), usually require a resident to private pay for a certain period of time before they allow government benefits to begin. Bottom line: Assisted Living Homes are less expensive and provide more individualized care in a home-like setting.
Finally, when living at home is not an option and skilled nursing care is either out of one's budget or not the right option based upon one's level of care, Assisted Living Homes are the affordable alternative senior housing choice.
---------------------------------------------------------------
You have permission to use this article as long as the author's full bio is present as well as any hyperlinks to author's website.
Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth's vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.
Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/
Exercise Walking For Seniors: Preventing Foot Problems
Exercise Walking For Seniors: Preventing Foot Problems
Exercise has a very important role in the general health and the quality of life of everyone, but especially in seniors. Seniors who walk tend to look younger, sleep more soundly and have fewer visits to the doctor. Walking for 30 to 60 minutes four to six days a week will help improve osteoarthritis and decrease the risk of osteoporosis, heart disease, hypertension, diabetes and obesity. Walking is the top recreational sport for seniors.
Although many seniors may be scared to start an exercise program because they are worried about injury, the health benefits of exercise outweigh the risk of injury. Walking is considered one of the best forms of exercise because it's safe, cheap and easy. Unfortunately, foot problems can prevent seniors from starting or continuing with a walking program. Follow these tips to help avoid foot problems when walking:
1. Choose the right shoe. Make sure the shoe is supportive and bends only at the toes. The shoe should also be stable from side to side. If you can twist the shoe or fold it in half, it is too flexible. The shoe should have enough wiggle room for the toes, yet be snug enough to keep the heel from slipping.
2. Buy shoes in the afternoon. Feet swell during the day and it is better to fit your shoes at this time. The only exception to this rule would be if you always do your walks in the mornings. Make sure your foot is measured at the store to obtain your correct size. Feet change size over time. Most feet lengthen and widen over the years, increasing the shoe size. Don't assume you've always been the same shoe size.
3. Start slowly with an easy pace. Try a short walk of 15 minutes and gradually increase the time each day.
4. If you haven't walked before, make sure you start on a flat, soft surface. A great surface to start on is a level, dirt path. Don't jump into climbing hills until you build some endurance.
5. Warm up before walks. Gentle stretching before and after walking can improve circulation and prevent injury. But, don't over stretch. If you haven't stretched before, be careful not to over do it. This can lead to injury.
6. Avoid walking in bad weather. Cold, wet weather makes surfaces slippery and hard and decreases visibility. Muscles can become tight and the feet can become numb, increasing the chance of injury.
7. Examine your feet after the walk. Look for areas of irritation, red spots, blisters or areas of swelling. Self- treating can turn a minor problem into a major problem. Consult a podiatrist if a problem persists.
8. Avoid cotton socks. The white cotton socks you've been told to wear all these years are not appropriate for exercise walking. Synthetic or wool socks will help wick moisture away from your feet as you walk. This will decrease your chance of fungal infections, excess rubbing or blister formation.
9. Walk in well-lit places. The darker the trail or road, the more difficult it is to see and the higher the chance you will have of tripping, falling or twisting an ankle.
10. Don't walk through pain. As soon as you notice a foot problem, stop walking. If you continue walking with an injury you could be making the problem worse. If you feel it's necessary to continue your exercise program, try using a stationary bike while you give your foot a rest. If a few days of rest does not resolve the problem, see a podiatrist.
Christine Dobrowolski is a podiatrist and the author of Those Aching Feet: Your Guide to Diagnosis and Treatment of Common Foot Problems. To learn more about Dr. Dobrowolski and her book visit http://www.skipublishing.com. For information on foot products to keep you walking, visit http://www.northcoastfootcare.com.
Exercise has a very important role in the general health and the quality of life of everyone, but especially in seniors. Seniors who walk tend to look younger, sleep more soundly and have fewer visits to the doctor. Walking for 30 to 60 minutes four to six days a week will help improve osteoarthritis and decrease the risk of osteoporosis, heart disease, hypertension, diabetes and obesity. Walking is the top recreational sport for seniors.
Although many seniors may be scared to start an exercise program because they are worried about injury, the health benefits of exercise outweigh the risk of injury. Walking is considered one of the best forms of exercise because it's safe, cheap and easy. Unfortunately, foot problems can prevent seniors from starting or continuing with a walking program. Follow these tips to help avoid foot problems when walking:
1. Choose the right shoe. Make sure the shoe is supportive and bends only at the toes. The shoe should also be stable from side to side. If you can twist the shoe or fold it in half, it is too flexible. The shoe should have enough wiggle room for the toes, yet be snug enough to keep the heel from slipping.
2. Buy shoes in the afternoon. Feet swell during the day and it is better to fit your shoes at this time. The only exception to this rule would be if you always do your walks in the mornings. Make sure your foot is measured at the store to obtain your correct size. Feet change size over time. Most feet lengthen and widen over the years, increasing the shoe size. Don't assume you've always been the same shoe size.
3. Start slowly with an easy pace. Try a short walk of 15 minutes and gradually increase the time each day.
4. If you haven't walked before, make sure you start on a flat, soft surface. A great surface to start on is a level, dirt path. Don't jump into climbing hills until you build some endurance.
5. Warm up before walks. Gentle stretching before and after walking can improve circulation and prevent injury. But, don't over stretch. If you haven't stretched before, be careful not to over do it. This can lead to injury.
6. Avoid walking in bad weather. Cold, wet weather makes surfaces slippery and hard and decreases visibility. Muscles can become tight and the feet can become numb, increasing the chance of injury.
7. Examine your feet after the walk. Look for areas of irritation, red spots, blisters or areas of swelling. Self- treating can turn a minor problem into a major problem. Consult a podiatrist if a problem persists.
8. Avoid cotton socks. The white cotton socks you've been told to wear all these years are not appropriate for exercise walking. Synthetic or wool socks will help wick moisture away from your feet as you walk. This will decrease your chance of fungal infections, excess rubbing or blister formation.
9. Walk in well-lit places. The darker the trail or road, the more difficult it is to see and the higher the chance you will have of tripping, falling or twisting an ankle.
10. Don't walk through pain. As soon as you notice a foot problem, stop walking. If you continue walking with an injury you could be making the problem worse. If you feel it's necessary to continue your exercise program, try using a stationary bike while you give your foot a rest. If a few days of rest does not resolve the problem, see a podiatrist.
Christine Dobrowolski is a podiatrist and the author of Those Aching Feet: Your Guide to Diagnosis and Treatment of Common Foot Problems. To learn more about Dr. Dobrowolski and her book visit http://www.skipublishing.com. For information on foot products to keep you walking, visit http://www.northcoastfootcare.com.
Review of the Changing Protein Requirements for Seniors
Review of the Changing Protein Requirements for Seniors
Youth, it is said, is wasted on the young. Too busy figuring life they hardly take the time to enjoy it. Fortunately, with medical research and scientific progress, lifespans have doubled over the last century. We can now start life at fifty and have another go at youth. Health consciousness, appropriate diet and exercise, can make the later years of life a pleasant experience. Dietary principles play as especially important role in this regard. Compensating for the physiological changes of aging, they can give us better odds at achieving our genetically determined lifespans.
The advancing years experience a complex interplay of changes affecting the mind, body, and the environment. Alterations in organs systems and cellular function can often predispose to malnutrition and a host of chronic illnesses (Servan 1999). Some of these problems can be attributed to the decrease in the total protein content and are in themselves preventable with appropriate attention to the protein content of the diet.
A decrease in protein turnover, such as that seen in aging, has far reaching effects (Chernoff 2004). Vital organ systems like the heart and lungs slow down, becoming incapable of further exertion. Neural processes like thought, planning and cognition are also affected. The immune system becomes weak, exhibiting a delay and difficultly in dealing with infections (Thompson 1987). Wound healing and repair, which requires a constant supply of amino acids, is also compromised.
Another issue associated with aging is the reduced capacity to deal with free radical species. These highly reactive molecules are produced by cells under stress. Free radicals can precipitate a chain reaction, damaging cell membranes and the genetic code. They have been implicated in a variety of disease processes from infection, heart attacks and cancer. This inability to handle free radicals is also responsible for aging. It is now believed a high protein diet can be helpful in attenuating many of these problems (Chernoff 2004).
Merely providing proteins through regular diets fail to meet the special requirements of the elderly. A protein supplement is often needed to ensure easy digestion, rapid absorption and assimilation. The protein supplement should also be of good quality and contain all the essential amino acids in adequate quantity. Such a supplement can adequately provide essential amino acids irrespective of the gut's ability to assimilate them. Such a protein supplement will be able to address the increase protein demand and malnutrition seen in the elderly, restoring the ability to build and repair tissues. A good protein supplement also has other significant benefits in the elderly that often go unrecognized.
A high protein diet has a 'thermogenic' or fat-burning effect. The body spends more energy to assimilate protein than carbohydrates or fats. This energy is often derived from the adipose tissue, thus burning fat in exchange for protein (Bloomgarden 2004). Then if the protein supplement has whey in it, it can also inhibit cholesterol absorption in the gut, reducing the risk of obesity and cardiac disease (Nagaoka 1996). Protein supplements that have casein can form a clot in the gut, thereby slowing down intestinal motility (Boirie et al. 1997) and giving the gut enough time to absorb all the amino acids from a meal. This property is important considering that aging also slows down and compromises digestion.
Protein supplements that combine casein with whey multiply the advantages of each component. Both casein and whey protein have a group of substances called kinins that can lower blood pressure by relaxing the blood vessels (FitzGerald, 2004.). Both proteins enhance the immune system through several mechanisms (Ha and Zemel, 2003). Lactoferrin, in whey protein, binds iron and depriving many micro-organisms of a growth stimulus. Free iron induces the formation of free radicals and is one factor responsible for colon cancer. This is also prevented by protein supplements that contain lactoferrin (whey).
Whey also has other antioxidants to offer. It is rich in cysteine, a precursor of Glutathione that is potent at mopping up free radicals (Counous, 2000). This generalized improvement in antioxidant capacity can counter cancerous and aging processes seen in the later years of life. Whey protein is also known to enhance memory as it promotes the synthesis of a neurotransmitter, serotonin that is involved in cognition and thought (Markus 2002). Milk basic protein, a component of whey, has the ability to stimulate proliferation and differentiation of bone forming cells as well as suppress bone resorption as found in vitro and animal studies. This can protect against weak bones, or osteoporosis, especially in the post-menopausal women (Toba 2000).
Thus there is extensive medical literature in support of a high protein, casein and whey supplement in the elderly population. These studies have also failed to document any major adverse effects with long-term intake of such supplements. Such a supplement can go a long way in making the later years of life more productive and fruitful.
ABOUT PROTICA
Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com
You can also learn about Profect at http://www.profect.com
REFERENCES
1. Arnal MA, Mosoni L, Boirie Y, et al (1999). Protein pulse feeding improves protein retention in elderly women. Am J Clin Nutr; 69: 1202-1208.
2. Bloomgarden ZT, Diet and Diabetes. Diabetes Care, volume 27, number 11, 2004
3. Boirie Y, Dangin, M, Gachon P, Vasson, M.P et al. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences, 94: 14930-14935.
4. Bounous G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Res 20:4785-4792.
5. Campbell WW, Crim MC, Dallal GE, Young VR and Evans WJ(1994).Increased protein requirements in elderly people: new data and retrospective reassessments. American Journal of Clinical Nutrition, Vol 60, 501-509.
6. Chernoff R (2004). Protein and Older Adults. Journal of the American College of Nutrition, Vol. 23, 627S-630S.
7. Counous, G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research, 20: 4785-4792
8. FitzGerald R J, Murray B A, and. Walsh D J (2004). Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S-988S.
9. Ha, E. and Zemel, M.B (2003). Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry, 14: 251-258.
10. Hernanz A., Ferna´ndez-Vivancos E., Montiel (2000). Changes in the intracellular homocysteine and glutathione content associated with aging. Life Sci, 67: 1317-1324.
11. Kent KD, Harper WJ, Bomser JA (2003). Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro, 17(1):27-33.
12. Lands LC, Grey VL, Smountas AA (1999). Effect of supplementation with a cysteine donor on muscular performance. J Appl Physiol 87:1381-1385.
13. MacKay D. Miller AL, 2003. Nutritional support for wound healing. Altern Med Rev; 8:359-377
14. Markus C R, Olivier B, and Haan E (2002). Whey protein rich in -lactalbumin increases the ratio of plasma tryptophan to the sum of the other large neutral amino acids and improves cognitive performance in stress-vulnerable subjects. Am J Clin Nutr, 75:1051-6.
15. Meyyazhagan S,. Palmer R.M (2002). Nutritional requirements with aging. Prevention of disease. Clin Geriatr Med, 18: 557-576.
16. Nagaoka S (1996). Studies on regulation of cholesterol metabolism induced by dietary food constituents or xenobiotics. J Jpn Soc Nutr Food Sci, 49:303-313.
17. Servan R P, Sanchez-Vilar O, de Villar G N (1999). Geriatric nutrition. Nutr Hosp, 14 Suppl 2:32S-42S.
18. Shah NP (2000). Effects of milk-derived bioactives: an overview. Br J Nutr, 84:S3-S10.
19. Thompson JS, Robbins J, Cooper JK (1987). Nutrition and immune function in the geriatric population. Clin Geriatr Med, 3(2):309-17.
20. Toba Y, Takada Y, Yamamura J, et al (2000). Milk basic protein: a novel protective function of milk against osteoporosis. Bone 27:403-408.
21. Walzem RL, Dillard CJ, German JB (2002). Whey components: millennia of evolution create functionalities for mammalian nutrition: what we know and what we may be overlooking. Crit Rev Food Sci Nutr, 42:353-375.
22. Weinberg ED 1996. The role of iron in cancer. Eur J Cancer Prev, 5:19-36.
Copyright Protica Research - http://www.protica.com
Youth, it is said, is wasted on the young. Too busy figuring life they hardly take the time to enjoy it. Fortunately, with medical research and scientific progress, lifespans have doubled over the last century. We can now start life at fifty and have another go at youth. Health consciousness, appropriate diet and exercise, can make the later years of life a pleasant experience. Dietary principles play as especially important role in this regard. Compensating for the physiological changes of aging, they can give us better odds at achieving our genetically determined lifespans.
The advancing years experience a complex interplay of changes affecting the mind, body, and the environment. Alterations in organs systems and cellular function can often predispose to malnutrition and a host of chronic illnesses (Servan 1999). Some of these problems can be attributed to the decrease in the total protein content and are in themselves preventable with appropriate attention to the protein content of the diet.
A decrease in protein turnover, such as that seen in aging, has far reaching effects (Chernoff 2004). Vital organ systems like the heart and lungs slow down, becoming incapable of further exertion. Neural processes like thought, planning and cognition are also affected. The immune system becomes weak, exhibiting a delay and difficultly in dealing with infections (Thompson 1987). Wound healing and repair, which requires a constant supply of amino acids, is also compromised.
Another issue associated with aging is the reduced capacity to deal with free radical species. These highly reactive molecules are produced by cells under stress. Free radicals can precipitate a chain reaction, damaging cell membranes and the genetic code. They have been implicated in a variety of disease processes from infection, heart attacks and cancer. This inability to handle free radicals is also responsible for aging. It is now believed a high protein diet can be helpful in attenuating many of these problems (Chernoff 2004).
Merely providing proteins through regular diets fail to meet the special requirements of the elderly. A protein supplement is often needed to ensure easy digestion, rapid absorption and assimilation. The protein supplement should also be of good quality and contain all the essential amino acids in adequate quantity. Such a supplement can adequately provide essential amino acids irrespective of the gut's ability to assimilate them. Such a protein supplement will be able to address the increase protein demand and malnutrition seen in the elderly, restoring the ability to build and repair tissues. A good protein supplement also has other significant benefits in the elderly that often go unrecognized.
A high protein diet has a 'thermogenic' or fat-burning effect. The body spends more energy to assimilate protein than carbohydrates or fats. This energy is often derived from the adipose tissue, thus burning fat in exchange for protein (Bloomgarden 2004). Then if the protein supplement has whey in it, it can also inhibit cholesterol absorption in the gut, reducing the risk of obesity and cardiac disease (Nagaoka 1996). Protein supplements that have casein can form a clot in the gut, thereby slowing down intestinal motility (Boirie et al. 1997) and giving the gut enough time to absorb all the amino acids from a meal. This property is important considering that aging also slows down and compromises digestion.
Protein supplements that combine casein with whey multiply the advantages of each component. Both casein and whey protein have a group of substances called kinins that can lower blood pressure by relaxing the blood vessels (FitzGerald, 2004.). Both proteins enhance the immune system through several mechanisms (Ha and Zemel, 2003). Lactoferrin, in whey protein, binds iron and depriving many micro-organisms of a growth stimulus. Free iron induces the formation of free radicals and is one factor responsible for colon cancer. This is also prevented by protein supplements that contain lactoferrin (whey).
Whey also has other antioxidants to offer. It is rich in cysteine, a precursor of Glutathione that is potent at mopping up free radicals (Counous, 2000). This generalized improvement in antioxidant capacity can counter cancerous and aging processes seen in the later years of life. Whey protein is also known to enhance memory as it promotes the synthesis of a neurotransmitter, serotonin that is involved in cognition and thought (Markus 2002). Milk basic protein, a component of whey, has the ability to stimulate proliferation and differentiation of bone forming cells as well as suppress bone resorption as found in vitro and animal studies. This can protect against weak bones, or osteoporosis, especially in the post-menopausal women (Toba 2000).
Thus there is extensive medical literature in support of a high protein, casein and whey supplement in the elderly population. These studies have also failed to document any major adverse effects with long-term intake of such supplements. Such a supplement can go a long way in making the later years of life more productive and fruitful.
ABOUT PROTICA
Founded in 2001, Protica, Inc. is a nutritional research firm with offices in Lafayette Hill and Conshohocken, Pennsylvania. Protica manufactures capsulized foods, including Profect, a compact, hypoallergenic, ready-to-drink protein beverage containing zero carbohydrates and zero fat. Information on Protica is available at http://www.protica.com
You can also learn about Profect at http://www.profect.com
REFERENCES
1. Arnal MA, Mosoni L, Boirie Y, et al (1999). Protein pulse feeding improves protein retention in elderly women. Am J Clin Nutr; 69: 1202-1208.
2. Bloomgarden ZT, Diet and Diabetes. Diabetes Care, volume 27, number 11, 2004
3. Boirie Y, Dangin, M, Gachon P, Vasson, M.P et al. (1997) Slow and fast dietary proteins differently modulate postprandial protein accretion. Proclamations of National Academy of Sciences, 94: 14930-14935.
4. Bounous G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Res 20:4785-4792.
5. Campbell WW, Crim MC, Dallal GE, Young VR and Evans WJ(1994).Increased protein requirements in elderly people: new data and retrospective reassessments. American Journal of Clinical Nutrition, Vol 60, 501-509.
6. Chernoff R (2004). Protein and Older Adults. Journal of the American College of Nutrition, Vol. 23, 627S-630S.
7. Counous, G (2000). Whey protein concentrates (WPC) and glutathione modulation in cancer treatment. Anticancer Research, 20: 4785-4792
8. FitzGerald R J, Murray B A, and. Walsh D J (2004). Hypotensive Peptides from Milk Proteins. J. Nutr. 134: 980S-988S.
9. Ha, E. and Zemel, M.B (2003). Functional properties of whey, whey components, and essential amino acids: mechanisms underlying health benefits for active people. Journal of Nutritional Biochemistry, 14: 251-258.
10. Hernanz A., Ferna´ndez-Vivancos E., Montiel (2000). Changes in the intracellular homocysteine and glutathione content associated with aging. Life Sci, 67: 1317-1324.
11. Kent KD, Harper WJ, Bomser JA (2003). Effect of whey protein isolate on intracellular glutathione and oxidant-induced cell death in human prostate epithelial cells. Toxicol in Vitro, 17(1):27-33.
12. Lands LC, Grey VL, Smountas AA (1999). Effect of supplementation with a cysteine donor on muscular performance. J Appl Physiol 87:1381-1385.
13. MacKay D. Miller AL, 2003. Nutritional support for wound healing. Altern Med Rev; 8:359-377
14. Markus C R, Olivier B, and Haan E (2002). Whey protein rich in -lactalbumin increases the ratio of plasma tryptophan to the sum of the other large neutral amino acids and improves cognitive performance in stress-vulnerable subjects. Am J Clin Nutr, 75:1051-6.
15. Meyyazhagan S,. Palmer R.M (2002). Nutritional requirements with aging. Prevention of disease. Clin Geriatr Med, 18: 557-576.
16. Nagaoka S (1996). Studies on regulation of cholesterol metabolism induced by dietary food constituents or xenobiotics. J Jpn Soc Nutr Food Sci, 49:303-313.
17. Servan R P, Sanchez-Vilar O, de Villar G N (1999). Geriatric nutrition. Nutr Hosp, 14 Suppl 2:32S-42S.
18. Shah NP (2000). Effects of milk-derived bioactives: an overview. Br J Nutr, 84:S3-S10.
19. Thompson JS, Robbins J, Cooper JK (1987). Nutrition and immune function in the geriatric population. Clin Geriatr Med, 3(2):309-17.
20. Toba Y, Takada Y, Yamamura J, et al (2000). Milk basic protein: a novel protective function of milk against osteoporosis. Bone 27:403-408.
21. Walzem RL, Dillard CJ, German JB (2002). Whey components: millennia of evolution create functionalities for mammalian nutrition: what we know and what we may be overlooking. Crit Rev Food Sci Nutr, 42:353-375.
22. Weinberg ED 1996. The role of iron in cancer. Eur J Cancer Prev, 5:19-36.
Copyright Protica Research - http://www.protica.com
How To Find Affordable Senior Housing
How To Find Affordable Senior Housing
A few years ago Miranda M. became a widow. After a short time her grandson (her only available relative) persuaded her to move across several states to be closer to him.
He located a nice retirement apartment where meals, housekeeping, and transportation are provided. By using her small Social Security income, and funds left by her loving husband, Miranda was just able to afford her rent and basic living expenses.
She didn't much like taking all her meals in the community dining room, so she continued to fix some of them in her own kitchen.
She reluctantly accepted the help of housekeeping for the heavy cleaning. But, as she said, "I need to keep busy. If I can't make my own bed and dust around I feel like a useless slug. I intend to keep doing for myself just as long as I can get up out of this chair."
But for one unforeseen disaster, Miranda and I never would have met, and she would have happily lived on in her sunny apartment.
You see, disaster struck because Miranda lived too long.
Both she and her grandson had counted on Miranda dying before her 85th birthday. It made perfect sense, they thought, as her family was not generally long-lived.
Her sister and brothers had all passed away at relatively young ages, as had her parents. Miranda figured she would be long gone before her money ran out.
There was only enough left to cover two more months in the retirement apartment when Miranda's grandson called me.
What was she to do?
Her monthly income of under $900 wasn't enough to pay for rent, utilities, food, and her medications in the least expensive apartment he could find. He asked me to find her a place in a Medicaid nursing home.
Well, Miranda certainly wasn't nursing home material.
There was nothing wrong with her mind. She could fix her own meals, and she could keep up her apartment (with a little muscle help). She really had no medical needs, and wouldn't have qualified for Medicaid and nursing home care even if she had wanted to.
Which she certainly didn't.
Her only real problem was lack of money (and a grandson who wasn't any better at planning ahead than she was).
After talking with her doctor and the manager of her apartment to confirm that she really was capable, I set out to try to find a "Section 202" apartment.
Section 202 housing - named after the section of the federal legislation authorizing it - is rental housing specifically for people over the age of 62 who have incomes under 50 percent of the area median income.
According to HUD, the U.S. Department of Housing and Urban Development, the average Section 202 resident is a woman in her 70s with an annual income of less than $10,000.
Section 202 residences are built and run by private, non-profit groups who have received loan incentives from HUD. HUD is not involved in day to day operations. Rents are calculated according to income, and rental assistance funds pay whatever balance remains.
Luckily for them, Miranda and her grandson live in a large metropolitan area. There are always more options in a larger town. But somewhere between 20 and 25 percent of Section 202 funds have been set aside for use in non- metropolitan areas, so these apartments aren't only found in big cities.
Hunting for a Section 202 apartment can be labor-intensive. When an apartment becomes available it rarely stays empty long. Often there are lengthy waiting lists.
The first piece of business was to telephone every apartment complex on the Section 202 list (see below for the web address to get a list). I verified that they were still participating in the program, and asked whether they had any vacancies.
Frankly, I didn't expect a "yes" to the vacancy question, but it never hurts to ask.
Lo and behold, and miraculously for Miranda, there actually was a vacancy in an older building near downtown. Because it's not in the pretty suburbs it isn't as popular as some of the others. For our purposes, it was a palace and a kingdom all in one. Beggars couldn't be choosers!
If there hadn't been a vacancy, Miranda and her grandson would have had to visit each apartment complex and place her name on every waiting list. Sometimes the wait can be as long as 2 years or more, so I don't advocate waiting as long as Miranda did.
Along with her application form, Miranda was required to give the apartment manager proof of her income (a Social Security statement or a pay stub). She was asked about previous landlords who could vouch to her suitability as a tenant. She was asked to provide copies of her pharmacy bills, as those expenses are taken into account when the rent is calculated. This particular apartment manager also wanted a statement from her doctor that she was truly independent.
If she had planned on visiting multiple places, Miranda would have taken along several photocopies of all her information so she could leave it everywhere she applied.
This is where having someone to come along is invaluable. The job can be overwhelming and exhausting for an older person.
If she hadn't found this affordable place, Miranda probably would have had to move in with her grandson (NOT a happy thought for either of them), or find a little private room to rent in someone's home, or try to find someone looking for a roommate. I was ready to try whatever it took to keep her off the street.
Because time was short Miranda had to take what was available. She has since put her name on the waiting list at two other apartments that are a little nicer and closer to her grandson. The great thing about Section 202 apartments is that you can move whenever and wherever you wish - depending of course on the terms of the lease you have signed.
To locate a directory of Section 202 housing in your state, go to http://www.hud.gov/directory Choose your state in the upper right corner. From that point on you might have to search around a little for "renting," because the information seems to be in different places on the state pages.
If you want to talk with someone in a HUD office, click on the web address below for a directory of offices: http://www.hud.gov/directory/ascdir3.cfm
If you, or someone you care for, is over 62 and on a limited income, Section 202 housing can be a lifesaver. It's very important to plan ahead, though, because these apartments are popular.
If you have concerns about finances becoming a problem in the future, start NOW to investigate your options. There's nothing more frightening than outliving your savings - - ask Miranda.
About The Author
Molly Shomer, LMSW is "Head Coach" of The Eldercare Team, and a dedicated advocate for those who are caring for elderly adults. Please visit her web site at http://www.eldercareteam.com for more elder care articles and important resources for caregivers. "Eldercare News You Can Use," the bi-monthly newsletter, is also available there. Write to her at: molly@eldercareteam.com; mshomer@eldercareteam.com
A few years ago Miranda M. became a widow. After a short time her grandson (her only available relative) persuaded her to move across several states to be closer to him.
He located a nice retirement apartment where meals, housekeeping, and transportation are provided. By using her small Social Security income, and funds left by her loving husband, Miranda was just able to afford her rent and basic living expenses.
She didn't much like taking all her meals in the community dining room, so she continued to fix some of them in her own kitchen.
She reluctantly accepted the help of housekeeping for the heavy cleaning. But, as she said, "I need to keep busy. If I can't make my own bed and dust around I feel like a useless slug. I intend to keep doing for myself just as long as I can get up out of this chair."
But for one unforeseen disaster, Miranda and I never would have met, and she would have happily lived on in her sunny apartment.
You see, disaster struck because Miranda lived too long.
Both she and her grandson had counted on Miranda dying before her 85th birthday. It made perfect sense, they thought, as her family was not generally long-lived.
Her sister and brothers had all passed away at relatively young ages, as had her parents. Miranda figured she would be long gone before her money ran out.
There was only enough left to cover two more months in the retirement apartment when Miranda's grandson called me.
What was she to do?
Her monthly income of under $900 wasn't enough to pay for rent, utilities, food, and her medications in the least expensive apartment he could find. He asked me to find her a place in a Medicaid nursing home.
Well, Miranda certainly wasn't nursing home material.
There was nothing wrong with her mind. She could fix her own meals, and she could keep up her apartment (with a little muscle help). She really had no medical needs, and wouldn't have qualified for Medicaid and nursing home care even if she had wanted to.
Which she certainly didn't.
Her only real problem was lack of money (and a grandson who wasn't any better at planning ahead than she was).
After talking with her doctor and the manager of her apartment to confirm that she really was capable, I set out to try to find a "Section 202" apartment.
Section 202 housing - named after the section of the federal legislation authorizing it - is rental housing specifically for people over the age of 62 who have incomes under 50 percent of the area median income.
According to HUD, the U.S. Department of Housing and Urban Development, the average Section 202 resident is a woman in her 70s with an annual income of less than $10,000.
Section 202 residences are built and run by private, non-profit groups who have received loan incentives from HUD. HUD is not involved in day to day operations. Rents are calculated according to income, and rental assistance funds pay whatever balance remains.
Luckily for them, Miranda and her grandson live in a large metropolitan area. There are always more options in a larger town. But somewhere between 20 and 25 percent of Section 202 funds have been set aside for use in non- metropolitan areas, so these apartments aren't only found in big cities.
Hunting for a Section 202 apartment can be labor-intensive. When an apartment becomes available it rarely stays empty long. Often there are lengthy waiting lists.
The first piece of business was to telephone every apartment complex on the Section 202 list (see below for the web address to get a list). I verified that they were still participating in the program, and asked whether they had any vacancies.
Frankly, I didn't expect a "yes" to the vacancy question, but it never hurts to ask.
Lo and behold, and miraculously for Miranda, there actually was a vacancy in an older building near downtown. Because it's not in the pretty suburbs it isn't as popular as some of the others. For our purposes, it was a palace and a kingdom all in one. Beggars couldn't be choosers!
If there hadn't been a vacancy, Miranda and her grandson would have had to visit each apartment complex and place her name on every waiting list. Sometimes the wait can be as long as 2 years or more, so I don't advocate waiting as long as Miranda did.
Along with her application form, Miranda was required to give the apartment manager proof of her income (a Social Security statement or a pay stub). She was asked about previous landlords who could vouch to her suitability as a tenant. She was asked to provide copies of her pharmacy bills, as those expenses are taken into account when the rent is calculated. This particular apartment manager also wanted a statement from her doctor that she was truly independent.
If she had planned on visiting multiple places, Miranda would have taken along several photocopies of all her information so she could leave it everywhere she applied.
This is where having someone to come along is invaluable. The job can be overwhelming and exhausting for an older person.
If she hadn't found this affordable place, Miranda probably would have had to move in with her grandson (NOT a happy thought for either of them), or find a little private room to rent in someone's home, or try to find someone looking for a roommate. I was ready to try whatever it took to keep her off the street.
Because time was short Miranda had to take what was available. She has since put her name on the waiting list at two other apartments that are a little nicer and closer to her grandson. The great thing about Section 202 apartments is that you can move whenever and wherever you wish - depending of course on the terms of the lease you have signed.
To locate a directory of Section 202 housing in your state, go to http://www.hud.gov/directory Choose your state in the upper right corner. From that point on you might have to search around a little for "renting," because the information seems to be in different places on the state pages.
If you want to talk with someone in a HUD office, click on the web address below for a directory of offices: http://www.hud.gov/directory/ascdir3.cfm
If you, or someone you care for, is over 62 and on a limited income, Section 202 housing can be a lifesaver. It's very important to plan ahead, though, because these apartments are popular.
If you have concerns about finances becoming a problem in the future, start NOW to investigate your options. There's nothing more frightening than outliving your savings - - ask Miranda.
About The Author
Molly Shomer, LMSW is "Head Coach" of The Eldercare Team, and a dedicated advocate for those who are caring for elderly adults. Please visit her web site at http://www.eldercareteam.com for more elder care articles and important resources for caregivers. "Eldercare News You Can Use," the bi-monthly newsletter, is also available there. Write to her at: molly@eldercareteam.com; mshomer@eldercareteam.com
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