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Wills and Trusts – Navigating the Minefields

To register for this event or get more information visit Family Legacy Legal - http://familylegacylegal.com/contact

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Are You At Risk? Why Risk Assessments In Elder Care Are Important

Guest post:

Are You At Risk? Why Risk Assessments In Elder Care Are Important

 

One of the most delicate areas of risk assessment is elder care, mainly due to the archaic approaches that are often adopted. Assessing the needs of the elderly is a delicate process, but at the same time, such assessments are vital for adequate care provision and minimizing distress. All assessments should be made in a way that addresses each person as an individual, alongside taking in to account staff, public and environment risks.

Why is a new approach needed?
Risk assessments for elder care have always been important, but until recently, extremely defensive approaches have been taken. Such measures have proven to be detrimental to care, and any strategy that results in poor care also leads to patient distress.

Defensive tactics have included assuming that the elderly are a risk due to their age or health condition, along with a lack of input amongst staff when it comes to carrying out assessments and failing to communicate with those in their care. Through this, many elderly patients have refused care due to recognizing that they are being treated in a risk averse way, staff have delivered inconsistent care as a result of no communication and service users have developed a sense of resentment. This overall lack of cooperation results in further risks, rather than addressing the ones that are there. In reality, most in elder care are not a risk to others or for that matter themselves, and the vast majority feel frustrated and patronized by the ‘one size fits all’ approach often taken; this highlights just why a new approach is important.

What approach should be taken to risk assessments for elder care?

First of all, each person needs to be assessed as an individual. A singular defensive approach will not tackle the individual needs of service users and will lead to failure. Rather than assuming that each person is ultimately a risk to themselves or others, it is better to look at how they are in reality. This includes focusing on how well they can care for themselves, physical aspects like mobility and overall health, how they react in the company of others, and in different environments, as well as how they respond to staff. Taking a balanced approach in this way means that posed risks are recognized.

Risk assessments for elder care should focus on communication at all levels. A growing body of evidence displays that the more a person is included in the risk assessment, the more likely it is that they will respond well to its findings. This increased level of cooperation from service users extends from care based services, to residing in assisted living facilities. By patronizing the elderly less through secretive assessments, it is easier to address their fears and pin-point just where it is possible to get their full cooperation.

Finally, a collaborative approach is needed between health care professionals and elderly patients alike. This includes taking staff away from a box-ticking approach and allowing them to give input based on their experiences with service users as an individual. By establishing a level of agreement across all staff members involved in care and elderly patients, it is easier to get a full picture with regards to where risks exist.

Why are risk assessments in elder care important?

Although every area of healthcare will present elderly patients with varying needs, not many areas offer as much variety as elder health care. In addition to this, there exists a certain level of unpredictability, making risks higher. A strategic approach that analyzes patient needs on an individual level, as well as analytical data on previous staff and care trends, allows for a finite approach to elder care risk assessment. In turn, this provides for detailed care plans that work, ultimately resulting in a heightened sense of well being and levels of care that benefit all concerned.

Bio:
Mary C. Owens is a freelance writer who is currently studying for a degree in medical sciences. She takes a keen interest in innovative approaches to elder health care. Although she is not associated with Trinity in any way, she does recommend them to those looking at assisted living in Atlanta.

 

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Shopping for final expenses

My mother-in-law passed away unexpectedly not long ago. She went into the hospital for surgery and did not make it. We were expecting to have her come and live with us for a few weeks, and take care of her until she could go back to her house, but it didn’t work out that way. We were unprepared.

What happens now? How long does the hospital keep her? Where do we take her? Who do we call, and for what? How much does everything cost?

Well, it turns out you go shopping, and you negotiate. The hospital told us they would keep her for “a few days” until we could make arrangements, but you could tell they didn’t want that to stretch too long. She already had a cemetery plot so at least we knew where she would be laid to rest. It turns out there are mortuary services, cemetery services, and viewing/chapel services, and you can have one company do it all or you can split it up. When we looked, it was more expensive to have the cemetery do it all than it was to have the mortuary do their part and the cemetery do only the burial. The mortuary had a package special, but we didn’t need a viewing so we swapped the viewing for embalming. We had to wait three weeks before burial to let out of town family come in, so the mortuary kept her until it was time to go to the cemetery.

What’s my point? The funeral/cemetery business is just that, a business. They are selling a service like anyone else, and it’s shop around, negotiate, see who you like, and make a deal. I feel we got lucky, finding a mortuary firm we felt very comfortable with. I would think there might be some others out there that might take advantage of a grieving family so be careful.

Please comment and share.

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Medical Advocate- You must be one for your parents

My mother in law just found out she has some heart disease. When she went to the doctor to find out about the test results and treatment plan, we were concerned she would not remember everything and understand what she needed to do, and it was impossible for my wife or me to go with her. We were lucky – a friend is a retired nurse and was able to go with her – she wrote everything down and summarized the information very well.

I got to thinking about it, and I was reminded just how important being a medical advocate is. Our friend was able to ask good questions, was not as emotionally involved, could be objective, and made sure she understood everything clearly.

It’s hard for us, as sons and daughters, to be what the nurse was: objective. And yet, that what it takes for us to help our parents the most. We must be eyes and ears for our parents – ask the questions, challenge the doctors, be sure we understand, and pay attention.

Please let me know what you think by leaving a comment.

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Caregivers: When you need advice, ask a friend!

My wife and I are thinking of selling our house and downsizing since our kids are out of the house. One has moved to another state to work, and the other is in college and living away. I was thinking about this and was struck by how much we miss out on when we don’t ask our network to help. We have friends that have done exactly what we’re thinking of doing, and we did not think to ask their advice until today! Just think how helpful will it be to get the benefit of their experience!!

My point is we need to remember to use our networks to do the job of family trustee and caregiver. We all know someone who is going through it or has gone through it, or we know some who knows someone.We lose a lot when we lose our connection to our community.

Please leave a comment and let this community know how this helped you!

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independent living for seniors – a quick and easy way to keep watch on eldery parents

Independent living for seniors - it’s what most families want for their parents. Here’s a video by my friend Keith that shows a really simple way to connect with parents. It’s called “I see Granny!”.

 

Simple and effective, right? Please pass this along to anyone who could use it.

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How to protect your parents’ assets

Here’s an eye opening video about how health care costs can wipe out assets and what to do to protect yourself. My friend Tri can help!

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Family trustees and caregivers – build a network to help keep track of mom!

I had breakfast with my Godmother this morning, and I realized I am building a network to help keep track of mom.

She wanted to know which of my phone numbers and would it be OK  to give to her hairdresser so he could call me in case she didn’t show up for her appointment some day! He knows how punctual she is and if she misses an appointment, something must be wrong and he wants to find out and help. He cares about his customers.

What have you done to build a network to help keep track of mom?

This is a great strategy to get some help. Hairdressers, dry cleaners, favorite restaurants, social clubs and groups and any other place you can think of where mom and dad hang out can be extra sets of eyes to help you to keep an eye on your parents. During the almost 4 years I was managing my parents’ lives, I found just about anyone who knew my folks was more than willing to help.

So, how do you build a network to help keep track of mom?

Find out where your parents hang out, who their neighbors are, get the numbers of their friends, and make sure these people all know to contact you if they see or hear something that doesn’t seem right.

Please share this with anyone you know who needs some help to build a network to help keep track of mom. Please leave a comment if you have any similar ideas that have worked for you!

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Assisted Living – list of questions to ask when choosing a facility

When choosing assisted living facilities, there are many things to consider. Of course, safety and security top the list, but there are many other factors to discuss. It’s important to look at this decision with quality of life for your parents in mind.choosing assisted living facilities

In assisted living facilities, services typically include housing, meals and snacks, 24 hour monitoring, medication supervision, activities and socialization programs, transportation and assistance with activities of daily living such as bathing, dressing, grooming and mobility. Some assisted living communities offer a safe and secure area especially for people with memory impairments or other cognitive disorders. There are usually choices of size of rooms, from single room studios to 2 bedroom apartments.

With these general guidelines in mind, here are some specific questions to ask:

  • How big is it? Large enough to have amenities, but not too large?
  • Is it close enough for me to visit easily?
  • Are the residents active and mobile? Are they happy and well cared for? ASK THEM!
  • Are the common areas clean? The bathrooms? The carpet? Any bad odors?
  • Are the floor plans easy to understand? Is the handicap accessibility adequate?
  • Do you see family and friends visiting?
  • Are there any outdoor areas? A patio? Courtyard with benches?
  • Are there places for a resident to have some solitude other than in their room?
  • What kinds of activities are offered and how often? Is an easy to understand list posted?
  • Are there community rooms, hobby/activity rooms, exercise rooms, living rooms?
  • Is there enough closet and storage space?
  • How often are the rooms cleaned and the linens changed? Is laundry done?
  • How are medications controlled?
  • How much medical care is available?
  • Does the facility have relationships with local doctors who make “house calls”?
  • What are the minimum physical abilities residents must have?
  • What kind of physical exam or evaluation is required before a resident is accepted?
  • How well does the kitchen accommodate special diets?
  • Does the facility have dementia care options?
  • How long has the staff been there? Do the workers seem happy and glad to help?
  • Does the staff seem friendly and caring? Are they clean and well groomed?
  • How long has the Executive Director been with the facility?
  • Who owns the facility? How long have they been in this business?

When choosing assisted living facilities, be sure to trust your instincts. What is your “gut reaction” to the facility? Remember you are trusting this facility to take care of your parents and provide for their safety, security and maintenance.

Has this list helped you with your choice? Please leave a comment and share this list with any one you know who is making this important decision.

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