Wednesday, April 6, 2016

Best Senior Housing Choices for Aging Boomers

While most of us do not like to think about it, the Baby Boomer generation is getting older.  Currently, over 10,000 Baby Boomers a day are turning 65.  The oldest Baby Boomers are now turning 70.  This trend has been going on for several years and will continue over the next decade.  Many of us are in good health, active and involved with our families and communities. 

The vast majority of Baby Boomers currently live independent lives in our own homes.  Most of us are still able to take care of housework, yard work, shopping and meal preparation.  It may be hard to believe, but this will not always be true.  What does the future have in store?

Our Future Housing Needs

Over the next ten to twenty years, the housing needs of Baby Boomers are going to change.  Based on what typically happens as people reach their late seventies and early eighties, it is likely that most of us will find it increasingly difficult to live independently.

Statistically, about two-thirds of us will need long-term care.  About one-fifth of us will need long-term care for more than five years.

If you want to have a choice in the type of care you receive when the time comes, you need to educate yourself about your choices while you are still in your late sixties or early seventies.  Even if you never need this information yourself, it is likely that one of your near relatives will need it, and you will be equipped to assist them.  With this thought in mind, I would like to highly recommend this book:

"Your Senior Housing Options" (available using this link from Amazon)

I did not write this book, nor do I know the author.  However, it is an excellent resource for anyone who wants to have a voice in their future housing choices as they age, rather than being dependent on their children to make decisions for them.

Even if you do not purchase the book, there are certain things everyone needs to consider when thinking about where to live as you age.

The Seven Deadly Sins in Finding Senior Housing

Among the information you will learn in this book are the things you do NOT want to do as you age.  Below is a brief summary of them.

You do NOT want to:

*  Wait until you are desperate and need housing immediately;
*  Base your choice solely on the cheapest place you can find;
*  Not have a plan for your long-term care costs;
*  Judge your senior housing solely on its outward appearance, apartment size and location;
*  Not know which questions to ask;
*  Believe whatever the sales person says, without making sure their promises are written in the contract (or not realize that you are dealing with a sales person and not a helpful consultant);
*  Fail to get the opinions of your friends and relatives when you evaluate your choices.

What Should You Be Doing Now?

In addition to reading the above book, it would be advisable to start planning for your later years.  Those who are planning ahead are more likely to have long-term care insurance.  They are also more likely to visit the various assisted living and long-term care communities in their area.  Most of these facilities have luncheons and tours which will give you the opportunity to see their model apartments and learn more about the costs associated with living in them.  You can also find out what amenities they offer.

In addition, visit your friends who have moved to one of the senior apartments, assisted living or nursing care facilities in your area.  Your friends will appreciate the visit and you will be able to decide which communities you like the best.

Personally, I have had friends who have moved into a wide variety of facilities in our area.  It is amazing to me how different they are.  To be honest, some of them look and smell like hospitals, especially the skilled nursing facilities.  Others are more like upscale senior apartment complexes with meals that are served restaurant-style in elegant dining rooms.  Some even have the option of requesting "room service" when you are ill or don't feel as if you can get down to the dining room.

Nearly all of these communities have planned activities and special events, but you need to make sure that they have the types of events that interest you.  Some of them, for example, are sponsored by religious groups.  In this case, make sure you are comfortable with the religious affiliation that supports that particular assisted living facility.

Aren't All Assisted Living Communities Pretty Much the Same?

NO!  There are enormous differences in the types of communities that are available. Here are just a few of the major differences you should know about:

Some of them require that you buy into the community at a cost of hundreds of thousands of dollars ... which frequently comes from the equity in your current home (assuming you have not taken out a large reverse mortgage).  However, these communities will usually guarantee that they will take care of you for the rest of your life, even if you need skilled nursing or a memory care facility.  They are also called a CCRC, or Continuing Care Retirement Community and can be an excellent choice for people who do not have long-term care insurance.  They provide peace-of-mind to the person who wants to be sure that will be cared for, no matter what happens in the future.

Other senior housing communities have no down-payment or buy-in requirement.  You pay for them month-to-month on a rental basis.  Often, these communities contain both people who need assistance as well as residents who moved there long before they developed a medical issue that forced them into assisted living.  Sometimes people move into a senior community simply because they do not want to cook any longer.  In other situations, one spouse is still healthy but the other needs care.  These senior housing communities may or may not have skilled nursing and memory care facilities, so make sure you choose one that meets your specific needs.  Most of these rental communities will accept your long-term care insurance when you need extra assistance (assuming you have purchased it).  This is usually not an option in the communities which require a large down payment, although there may be exceptions. 

This is an important consideration:  If you purchased long-term care insurance, a rental assisted living community will probably be your best future option.  If you did not purchase long-term care insurance, buying into a CCRC community that promises to care for you for the rest of your life is an excellent option.  Just make sure you fully understand the services that are offered by the community your choose.

Some assisted living communities and nursing homes accept Medicaid and these are ideal choices for those people who have a low retirement income and few assets.  Like the other types of facilities, they may or may not have the specific amenities and services that appeal to you.  Even low-income patients have options, so it is wise to explore them in advance.  I have known people who loved their Medicaid-covered assisted living facilities, so keep an open mind.

The quality of all these facilities varies widely.  As a result, you want to have plenty of time to visit them, talk to current residents and discuss the costs, amenities and care you would receive in each one.  This is why you do NOT want to wait until the need arises before you start investigating your choices.

What Happens to People Who Do Not Plan Ahead?

Most of us don't like to believe that we will ever need to move into an assisted living facility and, if you are lucky, you may be one of the one-third of Baby Boomers who never needs this extra care, even on a short-term basis.  However, it is smart to have a plan, just in case.

Everyone should have the name of a place they can afford and that they believe they would like.  Perhaps it is one where some of your friends already live.

If you do not plan ahead, you could find yourself in the unfortunate position where your adult children or other relatives make the decision for you, and they are unlikely to have any idea where your friends already live.  In addition, they may not know which community is the most appealing to you.  Finally, they may have no idea which items from your home you would like to take with you.  Take the time to plan ahead and you are much more likely to be happy with your living situation, when the time comes.

If you are interested in additional information on where to retire, long-term care, financial planning, medical issues that can arise in retirement, and changing family relationships, use the tabs or pull-down menu at the top of the page to find links to hundreds of additional helpful articles.

You are reading from the blog:  http://www.baby-boomer-retirement.com

Photo of Clubhouse at Laguna Woods Village, an independent living senior community in Southern California, is property of author, Deborah-Diane; all rights reserved.

Wednesday, March 30, 2016

Dangerous Prescription Painkiller Addictions - Opioids

The United States has an addiction problem.  No, it is not just teens and young adults who are affected; it also affects Baby Boomers and the growing epidemic of addiction and overdoses related to opioid prescription pain medications like morphine, oxycodone and hydrocodone.

Risks of Prescription Painkiller Addictions

There are a number of risks associated with these opioid prescription pain medications.  To make matters worse, many doctors are unaware of the dangers and, consequently, the patients are not well-informed, either.  By the time people are addicted, it is difficult for them to get off the drugs.  Here are some of the facts that people should know ... especially if a doctor suggested an opioid medication for them or someone they love:

*  Between 1993 and 2012, there was a 500% increase in the rate of hospitalizations for overdoses from prescription pain pills among people between the ages of 45 and 85.

*  At the same time, the number of overdose deaths rose 700% for adults between the ages of 55 and 64.

*  The highest number of deaths was in people between the ages of 45 and 54.  Their rate was actually four times the overdose death rate for teens and young adults!  This statistic alone should terrify any adult who believes these drugs will be safe for them to take, because they were prescribed by a physician.

*  The death rate may be even higher than we realize because so many deaths in the elderly are attributed to natural causes, especially when the person has multiple health issues.  However, the real cause may have been an accidental overdose or the inability of the liver and kidneys to clear multiple medications from the body.

*  In 2012, 8% of adults ages 40 or older reported that they had taken an opioid painkiller in the past 30 days.  (That is correct.  According to AARP, during a single month, approximately one out of twelve people over the age of 40 had taken an opioid painkiller.)

Side Effects of Prescription Opioid Painkillers

What many people do not realize when they begin taking these drugs is that there are a number of dangerous side effects, in addition to the risk of becoming addicted and/or dying of an overdose (as though that was not bad enough)!

Opioid drugs also result in:

*  Increased rate of heart attacks
*  Increase in number of falls and related fractures
*  Grogginess or foggy thinking
*  Constipation
*  Sexual dysfunction
*  The drugs become less effective at controlling chronic pain over time
*  The drugs may actually make people more sensitive to pain
*  It can be very difficult to stop using the drugs.  (ABC News reported in a news special in March, 2016 that 80% of new heroin users start out on opioid painkillers and, when the opioids are removed, the patients seek out an affordable substitute ... heroin.)

How to Use Opioid Pain Medications Safely

If you are suffering from acute pain after surgery or at the end of your life, it is possible that your doctor may prescribe one of these medications for you.  If this happens and you decide to use these medications, here is how to make sure you are using them safely:

*  Try taking only one-quarter to one-half of the normal dose.

*  Let your doctor know about other medications you are taking, especially benzodiazepines which may be prescribed for anxiety or insomnia.

*  Do not mix opioids with alcohol or other medications, which could trigger an overdose.

*  Make sure your doctor is monitoring you frequently, up to once a month.  They need to order frequent urine tests to measure the opiate levels in your system.

*  Be realistic about your pain.  Painkillers, including opioids, cannot eliminate all pain completely.  In fact, studies show that painkillers can only reduce chronic pain by 30%, at the most.  Patients should try less risky alternative treatments such as physical therapy, stress management, yoga, acupuncture, massage, etc.

*  Protect your loved ones by keeping all prescription painkillers locked up in a special cabinet or lockbox.  Thieves and even teenage relatives could be tempted to steal them and either use or sell them.

If you would like additional information on medical issues affecting Baby Boomers, where to retire, financial planning, family relationships, travel and more, use the tabs or pull down menu at the top of the page for links to hundreds of additional articles.

Sources:

"46 Americans Die Each Day from Painkiller ODs," AARP Bulletin, September, 2015, pg. 6.

http://www.medpagetoday.com/Geriatrics/PainManagement/32967

You are reading from the blog:  http://www.baby-boomer-retirement.com

Photo credit:  morguefile.com

Wednesday, March 23, 2016

Laws Regarding Caregivers for Senior Citizens


Are you thinking about getting a caregiver, either for your aging parents, an ill spouse or yourself?  There are definite advantages to having a caregiver.  Since an estimated 90% of people over the age of 65 would like to stay in their own homes as long as possible as they age, a caregiver is often necessary in order to make this possible.

Caregivers can help with shopping, meal preparation, light housekeeping, dispensing medication, bathing, dressing and transportation.  Without this help, many individuals would need to move into assisted living in order to get the care they need.  Those who want to stay in their own homes benefit by having caregivers who come to their home and provide whatever services they need.

However, if you are going to have a caregiver in your home or the home of a relative, it is important that you know the law.

A Caregiver is an Employee, Not an Independent Contractor

According to the IRS, there is no such thing as a 1099 Independent Contractor Caregiver.  This means that a caregiver must either be hired by an agency or by the consumer, and become that consumer's employee.

If an agency employs the caregiver, they are responsible for meeting all the requirements and making sure that payroll taxes, worker's compensations, etc., are handled correctly.

If an individual hires someone to be a caregiver, they automatically become that person's employer.  They must make sure they are paying them the minimum wage for the first 40 hours a week or 9 hours a day that they work.  If they exceed either the daily or weekly maximum, they must pay their employee wages that are at least 1 1/2 times their normal hourly rate.  This is according to Federal Law.

In addition, a consumer who is hiring a caregiver as an employee immediately becomes responsible for handling workers' compensation insurance, income tax withholding, and all other payroll taxes.

Most health care providers believe that the cost is approximately the same whether you use an agency or employ the caregiver privately.  Using an agency requires far less paperwork, which could be an advantage as you get older.

Other Laws Affecting Caregivers

In addition, most states require that caregivers go through a certain amount of education and training.  While some of the programs may only take a few weeks, it is still important that you are certain the caregiver you use has received this training.

Most states also require that caregivers are licensed and registered with the appropriate state agency.

Be Sure You Comply with All Laws and Check References

It is extremely important that, whether you find a caregiver through an agency or on your own, you are complying with all the necessary laws.  The laws are there to protect both the employee and the person receiving the care.

In addition, take the time to check references and do background checks.  While there have been very few instances of a hired caregiver taking advantage of a patient, it has happened occasionally. This person will have complete access to the home and belongings of the person under their care.  You want to be sure they are someone you can trust.

If you are interested in more helpful retirement information, use the tabs or pull down menu at the top of this article to find links to hundreds of additional articles on medical issues that can arise, financial planning, where to retire, family relationships and more.

You are reading from the blog: http://www.baby-boomer-retirement.com

Photo credit:  Morguefile.com