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Long-Term Care

Social Media Abuse in Nursing Homes

By Long-Term Care

As technological advances increase, so do the ways in which immoral individuals use technology to exploit others. There have been numerous instances in which nursing home employees have been fired or otherwise disciplined for sharing inappropriate content, via social media outlets, that features nursing home patients. This is a newer type of elder abuse that is becoming more prevalent and that everyone needs to be aware of. Posting embarrassing photo or video content of senior citizens is malicious, dehumanizing and violates elderly individuals rights to privacy. This applies especially to nursing home patients, as they are often mentally or physically impaired and unable to stand up for themselves. Everyone should be aware of the existence and growing presence of social media abuse when it comes to the elderly, so that they know to report elder abuse if they encounter it in any form.

To report elder abuse or exploitation, call the Florida Abuse Hotline at: 1-800-962-2873.

What are the Differences Between Homecare, Assisted Living Communities and Nursing Homes?

By Long-Term Care

As a senior citizen, you may find yourself searching for a care program that can give you or your loved one some extra help, but are still uncertain which level of care is right. To help eliminate confusion, it is important to know the differences between the major types of care facilities for elderly people and have information regarding the services they provide. On that note, we will be discussing the differences between Homecare, Assisted Living Communities and Nursing Homes so that you will be able to make an informed decision on which type of care is or will be most beneficial.

Home Health Care is a way to dip your toe in the water, so to speak, if you need care and assistance but would prefer not to move-in to an assisted-living facility or nursing home. As the name suggests, Home Health Care is provided in your residence by licensed, or even unlicensed, workers or family members. Usually, you will be required to pay for home health care yourself, but Medicare and Medicaid may reimburse certain types of “medically necessary” services if you are eligible and qualify. Home Health Care professionals can assist you in a variety of everyday activities, including but not limited to: shopping, cooking, cleaning, laundry, bathing, personal grooming and pet care.

Assisted Living Communities are designed for senior citizens who do not require an intensive level of care, as is provided in nursing homes, but are still unable to live independently. In these communities, residents generally live in private apartments and are offered meals that are provided in a central dining room. In places such as these, residents are able to receive assistance, as needed, with matters such as: taking medications, housekeeping and a variety of other everyday activities. Most of these facilities are paid for privately, although some allow Medicaid to cover a portion of the costs.

Nursing Homes provide constant skilled care for seniors who require higher levels of assistance. Licensed nurses work in these facilities and provide their services to residents twenty-four hours a day. A lot of nursing homes will provide short-term services for individuals that need assistance recovering from a severe injury or illness as well. The long-term residents, however, usually have complex medical conditions or need around-the-clock care due to disorders that are physically or mentally debilitating. Nursing homes may be the right choice if an individual has a condition such as Alzheimer’s or Dementia, or if they have any illness that renders them incapable of completing everyday activities.

National Family Caregivers Month

By Long-Term Care

November is National Family Caregivers Month! We want to celebrate all of the Family Caregivers that assist their loved ones every day and recognize how physically as well as emotionally demanding their lives are. Being the designated Caregiver for a loved one is an arduous duty that involves around-the-clock commitment. The hard work and dedication shown by Family Caregivers often goes unnoticed or underappreciated, as many don’t understand the amount of inner strength this job takes. At Bach & Jacobs, we want to show our admiration of and support for those who love and take care of their family members every day.

When is it time to consider hospice?

By Long-Term Care

Hospice is end-of-life care in which health professionals give individuals’ medical and emotional support. Hospice can be provided in a patient’s home, hospice center, hospital, nursing home, or long-term care facility. An individual who is diagnosed with a terminal illness is eligible for hospice after a physician certifies that they may have a life expectancy of six months or less. Deciding when it’s time for a loved one to go into hospice is a complicated emotional issue and, because of this, families often wait until the final days of their loved one’s life to request this form of care. However, if you have a terminally ill family member that is eligible, requesting hospice earlier can bring them more comfort and make the end of life process less turbulent. Hospice care can allow your loved one to get the assistance that they need and experience as little pain as possible during this difficult process. If you’re having trouble deciding when hospice care should be implemented, remember this: when the goal of medical treatment starts to become keeping an individual comfortable rather than trying to cure their illness, it is definitely time to consider hospice.

Is a Concierge Doctor Right for Me?

By Long-Term Care

A concierge doctor is a primary care physician that you pay an annual fee or retainer in return for certain benefits. The number of doctors who practice “concierge medicine” is starting to rise in the United States. These doctors stray from the traditional healthcare system to provide medical services in a manner that is more personal and patient-oriented. Concierge doctors take on fewer patients so that they are able to focus more on an individual’s needs and on providing preventative healthcare, which helps to reduce the instances of medical issues or emergencies. A concierge doctor will talk to you personally by phone or email,  give you same day or next day service, will get to know you well, coordinate with any specialists you may have, make house calls if you need them, and even meet you at the ER if you have a medical emergency. Having a concierge Doctor eliminates aggravations such as sitting in crowded waiting rooms for extended periods of time or dealing with a physician that is overburdened with patients and can’t give you the focus you deserve. A limiting factor for utilizing “concierge medicine” is the cost involved for the patient who participates, as the average retainer for a concierge doctor is $1200-$1500 per year. If you think a concierge doctor may be right for you, further research your options and consider the benefits of “concierge medicine”.

Care Planning Part 2

By Long-Term Care

While typical estate planning includes planning for incapacity during one’s lifetime as well as distribution of one’s assets upon their passing, Elder Law attorneys have an added focus of planning with long-term care in mind. If and when long term care becomes necessary, your end of life planning documents allow those you trust most to ensure you are cared for in a manner that comports with your wishes. Adding certain provisions to existing planning documents can enable those trusted persons to pursue additional planning strategies if and when the time comes for a senior to utilize long-term care. When the time comes for Medicaid pension planning, it is critical that the agent have the authority to take specific actions on behalf of the elderly person, such as establishing and funding an irrevocable trust, filing a Medicaid application, or preparing a VA pension application. The grant of authority must be clearly stated within the documents. Having clients in our office before they are in need of immediate long-term care allows our attorneys to successfully assist our clients in the most effective manner possible.

If you have further questions, contact our office at (941) 906-1231 to schedule an appointment with one of our attorneys.

Long term care planning series: Planning Before a Crisis

By Long-Term Care

The best long term care options are available through early planning. We care a great deal for our clients and try to help make transitions as seamless as possible for them. We recommend planning prior to these issues, so that when difficult issues arise things go as smoothly as possible. Typical estate planning involves the distribution of a person’s assets after they pass away. Here at Bach and Jacobs we have additional focus on end of life planning and encourage you to contact us to review your plans before crisis hits. However, we will also help you navigate emergency senior care issues as well. Because we want to help you plan for all of life’s possibilities and protect you and your investments, we include irrevocable trusts that are designed specifically for that purpose.

If you have further questions, contact our office at: 941- 906-1231 to schedule an appointment with one of our attorneys.

 

League of Women Voters Event On Guardianship And Elder Care Advocacy

By Firm News, Guardianship, Long-Term Care

Babette Bach will be speaking at a League of Women Voters event on Guardianship and Elder Care Advocacy. The event will be held at the Community Foundation of Sarasota (2635 Fruitville Road) at 11:30 a.m on Monday, June 26th, 2017. The event fee is $15 for members and $20 for non-members and you can RSVP by email: [email protected] and pay at the door.

https://www.lwvsrq.org/events/hot-topic-luncheon-2017-06-26/

 

The benefits of entering into a caregiver agreement

By Guardianship, Long-Term Care

Many seniors have caregivers who provide their skills and care on a daily basis. Whether the caregiver is a family member, friend, or professional, it is a good idea to create a caregiver agreement.

A caregiver agreement should include the services and hours that the caregiver is expected to provide, the needs and wishes of the senior, and compensation for the work. It should also include in writing the frequency of services, the location where services are to be provided, and important dates such as when the care begins and how long the agreement is to be in effect.

The advantages of setting up a caregiver agreement are manifold:

  • It can reduce or avoid Medicaid penalties
  • It prevents confusion with private duty domestic service workers and/or family members and sets up a clear method of compensation so there is no misunderstanding
  • It recognizes the time and effort of those taking care of you
  • It offers security and peace of mind
  • It makes expectations clear

 

If you are employing caregivers, companions, or other domestic service workers, contact an attorney at Bach & Jacobs, P.A. to discuss how you can help minimize risk and liability by creating a caregiving agreement. This is especially necessary if you are employing private duty caregivers directly rather than through an agency.

 

 

 

 

Questions to ask before retirement

By Asset Protection Planning, Estate Planning, Government Benefits, Long-Term Care

For many seniors, retirement is a time of relaxation and having opportunities to explore their interests and the world. But before making the transition into retirement, there are some questions that you and your spouse should discuss.

 

  • What is the best time for my retirement? There are several factors you and your loved ones should consider before making the decision to retire. A large topic to discuss is how best to maximize your Social Security spousal benefits. You should also assess your family’s financial needs and consider the ways in which your retirement could impact your loved ones.
  • What lifestyle do I want to pursue? Everyone has a different vision for retirement. While some wish to travel the world, others plan to stay close to home. By having an idea of your lifestyle, you can properly prepare for your retirement.
  • How do I plan for long-term care? Planning for long-term care can be a long process. It is a good idea to meet with an elder law attorney to properly construct a plan. Planning ahead can save time and money and reduce unnecessary stress. Planning for long-term care involves setting up end-of-life documents, finding the right assisted living facility if necessary, and getting the best healthcare coverage for your needs.

 

If you wish to set up estate planning documents or plan for your retirement and end-of-life decision-making, please contact our office at (941) 906-1231 to speak with one of our attorneys.