Posts Tagged ‘caregiver’
By Melody Wilding
Just as you’re hitting a stride, the phone rings. It’s Mom … and something is wrong. She fell this morning.
“Nothing serious,” she says, but the words shake you to your core. You’re frustrated, scared, and frantic inside. But there you are: stuck more than five hours away.
These types of occurrences are a daily reality for millions of long-distance caregivers across the United States. Read the rest of this entry »
Multi-generational homes were common during the Great Depression but declined once people rebounded economically. Now, as John Graham, coauthor of Together Again: A Creative Guide to Successful Multigenerational Living, observes, the recent recession has prompted a move back from valuing independence to interdependence.
Some 51 million Americans (16.7% of the population) live in a house with at least two adult generations, or a grandparent with at least one other generation, under one roof, according to a Pew Research Center analysis of the latest U.S. Census Bureau data. The Pew analysis also reported a 10.5% increase in multi-generation households from 2007 to 2009. Now builders are responding with homes designed specifically for multi-generation homes, or that can be modified to support that option later.
Could this trend be a utopia of built-in child care, elder care, three square meals, and shared costs? Could it avoid isolation in old age? Read the rest of this entry »
Guest article by Albert Lester (editor enhanced)
Americans keep living longer. According to the CIA World Factbook, 26% of Americans are older than 55. Just more than 40% fall in the 25-54 age range, double the rate for those under age 14, and dwarfing the number of 15-24 year olds. Moreover, our population growth is less than one percent. For baby boomers, some of whom have already entered retirement, this brings an interesting question: will there be enough entitlement funds to help support them in old age, and will there be enough caregivers in the smaller generation groups that follow them to meet the demand? Read the rest of this entry »
By Caroline Montague
With an aging population and a generation of young adults struggling to achieve financial independence, the burdens and responsibilities of middle-aged Americans are increasing. Nearly half (47 percent) of these adults have a parent age 65 or older and are either raising a young child or financially supporting a grown child (age 18 or older). In addition, about one in seven middle-aged adults (15 percent) are providing financial support to both an aging parent and a child.
Adult children, worried about costs and the loss of their parents’ independence, must make difficult decisions about the best options for care for their loved ones. Assisted living communities, such as Emeritus assisted living, allow individuals to remain independent as long as possible in an environment that maximizes the person’s autonomy, dignity, privacy and safety. These types of communities also encourage family and resident involvement. (Editor: Emeritus is one of the largest and most well known, but you can also compare facilities in your area by zip code.) Read the rest of this entry »
Danny Long became a 24×7 caretaker for his wife, Shelly, after a botched spinal cord operation in 2008. The surgery was supposed to improve the failing sense of touch in her hands and feet, but instead it left her a quadriplegic with no feeling at all, except the severe pain in her back. Afterwards, no doctor would predict that she could ever walk again. But today, with help from her friends and faith, and the loving support of her creative and supportive husband, Shelly walks a mile every three days using the large gait trainer shown.
At some point, Danny decided to document her progress and their therapy journey in a series of videos. One showed how he adapted an old exercise bike to work for someone in a wheelchair. Another showed home-build parallel bars that Shelly used to practice standing and walking. And a third showed the walking harness he made to establish weight bearing safely. There are other videos on his Vimeo page, but the one I include below is a summary of their story.
Health care reform law aims to improve care,
lower costs for seniors and people with disabilities.
3-4 million seniors living with multiple chronic illnesses such as diabetes, lung and heart disease are too ill or disabled to easily visit their physician when they need care. Instead, they go to the ER or are hospitalized. These seniors represent about 10% of Medicare beneficiaries but account for two thirds of Medicare’s expenditures, and it’s a problem that’s not going away. The number of people with multiple chronic illnesses will grow to 6-8 million by 2025.
House calls, directed at these highest cost patients first, are a solution to the rising Medicare costs. The average $1,500 per ER visit, for example, can more than justify the cost of 10 house calls. Savings are even greater for avoided hospitalizations. Home-based primary care programs have the potential to save 20-40% on Medicare’s most expensive patients by bringing them care in their homes. But this is a new and relatively unproven healthcare delivery model.
Testing the Solution
The Independence at Home Demonstration, authorized by the Affordable Care Act, will test the viability of a new service delivery model that utilizes physician and nurse practitioner directed primary care teams to provide services to certain Medicare beneficiaries in their homes. Up to 10,000 Medicare patients with chronic conditions will now be able to get most of the care they need at home.
“This program gives new life to the old practice of house calls, but with 21st Century technology and a team approach,” said Marilyn Tavenner, Centers for Medicare & Medicaid Services (CMS) Acting Administrator.
The new Independence at Home Demonstration greatly expands the scope of in-home services Medicare beneficiaries can receive. It’s a voluntary program for chronically ill Medicare beneficiaries that will provide them with a complete range of primary care services. Read the rest of this entry »
WanderID is a new service that uses biometric face matching software to give you peace of mind, knowing that your loved one can be easily identified if they wander away or get lost.
You register and upload photos of a loved one to the WanderID website. If they then get lost, a police officer or EMT could use their smart phone to take a picture and search the company’s database. That’s when the service matches their photo with ones you uploaded, so you can get reconnected with loved one. It works just as well for small children or seniors with dementia. Read the rest of this entry »
According to AARP, 43.5 million Americans are caregivers, and although they do it out of love and obligation, caring for a loved one takes a personal and financial toll.
The economic impact is surprisingly high. It was over $480B/year in 2009, a figure that includes lost worker productivity, reduced earning capacity & retirement income, and increases in their own physical & emotional health and related costs. That’s about 3.2% of the U.S. GDP ($14.1 trillion in 2009). It’s more than the $361B in Medicaid spending. And it’s nearly as much as the $509B in 2009 Medicare spending. It’s also more than half of what we spend on defense. The burden is even worse for long-distance caregivers.
The infographic below details caregiving in the U.S. Read the rest of this entry »
Jack and Jill went up the hill
Up Jack got, and home did trot,
By Wayne Caswell
Jack and Jill were in their late 60s and had been married for 37 years when Jack suffered a severe stroke and required care beyond the abilities of his partner. After leaving the hospital, he went into a nursing home, and the family home was sold to pay for his care, which was expensive and projected exceed $84,000 per year.
Jill couldn’t maintain the big house herself and couldn’t afford it either, so she moved into a small apartment alone, without her lifelong mate. Being separated affected the couple’s morale, but worse was that it affected their health and their finances. Without long-term-care insurance, their life savings were depleted quickly before Medicaid finally kicked in. And now the grown children had two places to visit to support their declining parents. It didn’t have to be that way.
Just as in the nursery rhyme, Jack goes home and recovers more quickly there – in familiar and loving surroundings where Jane hires professionals to help care for him. That decision lets the couple stay together, and the kids have just one place to visit.
Universal Design was not offered when they built their home, and even though renovating the home for wheelchair accessibility often costs as much as $50,000, they felt it was financially better than the alternative. The project was entirely funded with home equity, so they didn’t even have to touch their retirement money, or the kid’s future inheritance. You see, Jack and Jill are like most American seniors, 90% of whom would rather live at home as long as possible and are willing to seek help to do that.