Archive for August, 2009

Stress and the Elderly of Indianapolis, Indiana

Saturday, August 29th, 2009

Stress and the Elderly

Contrary to what we’ve been led to believe, senior living isn’t always the way it’s portrayed in glossy sales brochures and magazine advertisements. Rather than being a carefree period of life spent on the golf course and traveling around the world, for many of today’s seniors those “golden years” are incredibly stressful times.

What causes seniors so much stress? Change is a huge trigger for stress and seniors definitely experience plenty of change. It can be in the form of declining health, death of friends and loved ones, moving, a bad financial investment, and the list goes on. Here are some other reasons why senior living is stressful.

Continue reading HERE.

Millions facing shrinking Social Security payments

Monday, August 24th, 2009

Seniors will have an even tougher time when Social Security benefits are reduced next year.

Stay Alert on Alzheimer's Disease in Indianapolis, Indiana

Friday, August 21st, 2009

This is a great article for anyone who is affected, or newly affected by Alzheimer’s Disease, and is trying to understand it’s effects on our loved ones.

Depression and the Elderly in Indianapolis, Indiana

Saturday, August 15th, 2009

I found this article at Agingcare.com and decided to share it with you.

The Cold Hard Truth

Friday, August 14th, 2009

Recently I was helping a lovely family that never expected to encounter what they did.

Senior-proof your house now so you don't have to move later

Friday, August 14th, 2009

The Dallas couple, who are in their early 60s, have remodeled their 1980s-vintage master bathroom and kitchen so that they can use both more easily as they grow older. They replaced their tub with a step-in shower, and they enlarged the kitchen and installed pullout shelves.

“We’re creating a home where we can enjoy retirement,” Carolyn Exley said. “If either of us ever needed a wheelchair, we could continue to live here. The only problem I see is that both of us now want to use our new kitchen, and two cooks may be one too many.”

Like the Exleys, nine of 10 people older than 50 plan to remain in their homes for as long as their health allows, an AARP survey has found. But most older homes weren’t built to accommodate the frailties of old age.

Read more http://www.dallasnews.com/sharedcontent/dws/bus/stories/DN-remodeling_13bus.ART.State.Edition1.3cf7e4c.html

Find an Indianapolis Certified Aging in Place Specialist

Home Care Through the Years in Indianapolis, Indiana

Sunday, August 9th, 2009

The Evolution of Home Care
In the first century of our country’s history there was no such thing as nursing homes or assisted living. Society was mostly rural and people lived in their own homes. Families cared for their loved ones at home till death took them. In the latter part of the 1800’s because of an increasingly urban society, many urban families were often unable to care for loved ones because of lack of space or because all family members including children were employed six days a week for 12 hours a day. During this period many unfortunate people needing care were housed in County poor houses or in facilities for the mentally ill. Conditions were deplorable. In the early 1900’s home visiting nurses started reversing this trend of institutionalizing and allowed many care recipients to remain in their homes. Nursing homes or so-called rest homes were also being built with public donations or government funds. With the advent of Social Security in 1936, a nursing home per diem stipend was included in the Social Security retirement income and this government subsidy spurred the construction of nursing homes all across the country.

By the end of the 1950s it was apparent that Social Security beneficiaries were living longer and that the nursing home subsidy could eventually bankrupt Social Security. But in order to protect the thousands and thousands of existing nursing homes Congress had to find a way to provide a subsidy but remove it as an entitlement under Social Security. In 1965 Medicare and Medicaid were created through an amendment to the Social Security Act. Under Medicare, nursing homes were only reimbursed on behalf of Social Security beneficiaries for short-term rehabilitation. Under Medicaid, nursing homes were reimbursed for impoverished disabled Americans and impoverished aged Americans over the age of 65. It has never been the intent of Congress to pay for nursing home care for all Americans. The nursing home entitlement for all aged Americans was now gone.

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New Guideline Could Change Nursing Home Care

Tuesday, August 4th, 2009

A new CMS Guideline suggests -

Nursing homes should provide environments that are more like home and give residents choices regarding their care, according to new guidance issued by the U.S. Centers for Medicare & Medicaid Services. Nursing home surveys will be conducted with a sharpened focus on resident rights in areas such as ensuring they live with dignity; offering choices in care and services; and creating a more homelike environment.

“These groundbreaking revisions matter in the daily lives of people who live in the nation’s long-term care facilities,” said CMS Acting Administrator Charlene Frizzera. “The improvements in the guidance are intended to support efforts under way to transform nursing homes into environments that are more like their homes through both environmental changes and resident-centered care giving.”

The proposals include a call to “de-institutionalize” physical environments by doing away with things such as meals served on institutional trays, noise from overhead paging systems and large nursing stations. They also note that residents have the right to choices concerning their routines, including scheduling waking, bathing, mealtimes and bedtimes.

“Many facilities cannot immediately make these types of changes, but it should be a goal for all facilities that have not yet made these types of changes to work toward them,” the guidance notes.

It’s a start to helping seniors living in nursing homes be treated like the independent people they have always been.

To learn more – http://www.cms.hhs.gov/transmittals/downloads/R48SOMA.pdf

Family Reunion – A Good Time for Future Planning

Tuesday, August 4th, 2009

Summertime brings a lot of family time. With family reunions, picnics, weddings and other events, long distant family members travel to gather together. It is also the perfect time to do some planning for the future. With parents aging and their health and lifestyles changing, children need to discuss some changes and decisions that will be needed in the near future. Parents should take the time to tell their children where important documents are kept and what their wishes are in the event of needing health care directives or experiencing long term care needs.

For those children who live away, the change they see in their parent’s health and mental capacity may be alarming — whereas siblings that have daily contact are working with these issues constantly. Here is the chance to compare notes and work together as a complete family in the long term care planning process.

For you parents who are well and active, this is a good time to hold a family meeting and share with your children your plan for long term care. Tell them where financial and legal documents are located or use our Legal and Financial Organizer. Review health care directives, living wills and long term care alternatives.

Experience has shown that even families that are close can quickly grow angry, jealous and hostile towards each other when an aging parent begins to need long term care. If a sibling moves into the parent’s home, others can easily be suspicious of ulterior motives and fear losing their inheritance. On the other hand, the child providing the elder care becomes bitter and feels there is no support or help from siblings. Developing a plan, before senior care becomes needed avoids these types of conflicts.

It can be helpful to have the meeting led by an impartial party, such as Aging Avenues who has experience with elder care issues. This helps put everyone on neutral ground. Aging Avenues can guide you through planning for the worst and how to try to prevent it, as well as what’s realistic in terms of care. Aging Avenues can offer you referrals to our network of Preferred Providers to assist you with everything from legal to choosing a facility. Having an impartial party is also ideal when family members don’t agree on the level of care needed.

Once you have agreed on a plan be sure to get everyone involved commitment to make it happen. This should help avoid someone forgetting what they agreed to do. Everyone has their specialty so if family members are out of town they can contribute by making necessary phone calls and the like There are many on-line sources that can keep distance family members involved. You can find them under Caregiver Support on our website www.agingavenues.com.

If you weren’t able to discuss what your loved one’s wishes were in advance but you need to react to a critical situation, Aging Avenues can help you make those choices quickly, without hours of searching and research. Our experience in the senior care industry gives you the valuable insight to make a sound decision and have peace of mind.

Stroke Recovery Tips for Caregivers in Indianapolis, Indiana

Sunday, August 2nd, 2009

This is a very informative article for anyone who has a loved one recovering from a stroke.