Wealth and Honor

Helping Families Navigate the Financial Challenges of Age Transitions

Category: Medical Issues (Page 1 of 3)

When It’s Time for Dad (or Mom) to Give Up Driving

September 21, 2023 /

If our parents live long enough, there will be many conversations we’ll need to have with them that may make us very uncomfortable. One conversation that we all dread is discussing the possibility of our parent giving up driving. This sensitive topic can be challenging to broach, but it’s a crucial one for the safety and well-being of both our parent and others on the road. In this post, we’ll explore the reasons behind this necessary conversation, provide strategies for discussing it with your parent, and touch on the issue of liability exposure in certain situations.

Why Is This Conversation Necessary?

First and foremost, safety is the primary concern when it comes to aging parents and driving. As your parent gets older, their physical and cognitive abilities may decline, which can make them more susceptible to accidents. Slower reaction times, decreased vision, and other age-related changes can put them and others at risk on the road. According to the CDC, drivers aged 75 and older have the highest death toll in car accidents, primarily attributed to age-related factors such as diminished vision, cognitive decline, and physical changes. Furthermore, the death rate per thousand crashes is notably higher among drivers aged 70 and above when compared to middle-aged drivers, who fall in the 35-54 age range.

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How a lawyer can respond to diminished capacity.

August 14, 2023 /

Confidentiality is one of the hallmarks of the attorney-client relationship. Clients expect their attorney to uphold the confidential nature of their discussions, and attorneys must adhere to a strict code of conduct to protect the public they represent. But what happens if the attorney questions the capacity of their client?

Capacity can be a complex legal doctrine, but legal capacity is required by parties of a valid contract.  Moreover, standards of capacity can also vary by they type of contract entered into as well as by different states in which the contract is governed. For example, capacity to create a valid Last Will and Testament requires the one creating the will to know the general nature of their possessions and who their legal heirs are. Another standard may be applied to a more complex legal transaction.

Attorney Mark C. Palmer, Chief Counsel at the Illinois Supreme Court Commission on Professionalism, addresses how attorneys can work with clients that are demonstrating cognitive decline. In his article,
Diminished Capacity of a Client: How Should a Lawyer Respond? | Q&A, Palmer discusses three questions an attorney needs to consider:

  1. How does a lawyer know if the client has diminished capacity?
  2. How might this change how a lawyer represents a client?
  3. What protective measures can the lawyer take while meeting ethical obligations?

If you have concerns about the capacity of your aging loved one to execute a valid legal contract, consult with a qualified legal professional, preferably a Certified Elder Law Attorney (CELA) as well as your loved one’s medical provider. It is these professionals’ responsibility to independently determine whether your loved ones have the required capacity to act in their best interests.

MARK C. PALMER

Mark C. Palmer is Chief Counsel at the Illinois Supreme Court Commission on Professionalism. Mark writes on civility, professionalism and future law for the Commission’s 2Civility blog and delivers statewide professionalism programming, including a lawyer mentoring program, to attorneys and law students across Illinois. Follow him @palmerlaw.

Source: Diminished Capacity of a Client: How Should a Lawyer Respond? | Q&A

Negotiation Techniques for Adult Children of Aging Parents

August 11, 2023 /

In an insightful article published on KFFhealthnews.org by Judith Graham, titled “Negotiate with Resistant Aging Parents: Applying Business Strategies,” researchers at Northwestern University explore the application of negotiation and dispute resolution techniques from the business world to defuse conflicts arising from caregiving and financial decisions involving elderly parents. As we strive to provide the best care for our aging loved ones, this article sheds light on strategies to navigate complex situations while respecting their autonomy and dignity. The article delves into a training curriculum designed to help professionals and family caregivers approach caregiving as a collaborative effort and offers valuable insights for fostering productive conversations.

Reaching an impasse with aging parents in their late 80s who resist the idea of receiving home assistance can be frustrating. Negotiation and dispute resolution techniques commonly employed in the business world have shown potential for resolving such conflicts, according to a group of researchers at Northwestern University.

The team has developed a specialized training program focused on negotiation and dispute resolution. Aimed at social workers, care managers, and healthcare professionals working with resistant older adults, this curriculum encourages professionals to engage in collaborative caregiving approaches that honor the individual’s preferences, rather than imposing decisions.

Lee Lindquist, the chief of geriatrics at Northwestern University’s Feinberg School of Medicine, who leads this initiative, highlighted the prevalence of conflicts among older individuals and emphasized the program’s goal to de-escalate such situations, ensuring older adults receive the necessary support while maintaining their dignity.

A significant component of this project is the development of a computer-based training program for family caregivers dealing with mild cognitive impairment or early-stage dementia in their loved ones. Dubbed “NegotiAge,” this program employs avatars of older adults to simulate negotiation scenarios. Through practice, caregivers can refine their negotiation skills and techniques.

This project, funded by the National Institutes of Health with nearly $4 million, strives to make NegotiAge widely accessible after evaluating its effectiveness.

For family caregivers seeking to navigate conflicts with aging parents, the article outlines several proactive steps:

1. Prepare: Before entering negotiations, thorough preparation is vital. Jeanne Brett, a member of the NegotiAge team, suggests addressing fundamental questions, identifying issues, involved parties, their positions, motivations, and potential consequences if an agreement is not reached. Document your goals for the upcoming conversations.

2. Identify Common Interests: Finding common ground among the parties involved is key. Emphasize shared goals and interests, such as maintaining the older adult’s independence, safety, and social connections.

3. Ask Questions: Avoid making assumptions about the reasons behind a parent’s stance. Engage in open-ended discussions to understand their perspective. Show empathy and genuine concern.

4. Brainstorm Strategies: Emotions can run high during negotiations, particularly within family dynamics. Shift focus from conflicts to collaborative problem-solving. Encourage creative thinking and explore multiple potential solutions.

5. Third-Party Involvement: If resolution remains elusive, consider involving a neutral third party, like a mediator or healthcare professional. External input can provide a fresh perspective and facilitate productive discussions.

Applying these strategies can lead to more effective communication, allowing families to navigate challenging decisions while preserving relationships and respecting the autonomy and dignity of aging parents. As the Northwestern University research advances, caregivers and professionals alike stand to benefit from enhanced tools and approaches to address the complexities of eldercare.

To read the full article by Judith Graham on KFFhealthnews.org, visit: Negotiate with Resistant Aging Parents: Applying Business Strategies.

A Guide to Recognizing Common Health Issues in Aging Parents

July 20, 2023 /

As our parents age, it becomes increasingly important for us to be vigilant about their health and well-being. While aging is a natural process, it often brings about specific health challenges that may require attention and care. Recognizing common health issues in aging parents can enable us to provide timely support and improve their quality of life. In this guide, we’ll explore some prevalent health concerns faced by seniors and offer insights on how to identify and address them.

Cognitive Decline and Memory Loss:

One of the most common health issues experienced by aging parents is cognitive decline, which can include mild memory lapses or more severe conditions like dementia and Alzheimer’s disease. According to the Alzheimer’s Association, approximately 5.8 million Americans age 65 and older are living with Alzheimer’s in 2021, and this number is expected to increase significantly in the coming years. To recognize cognitive decline, observe any noticeable changes in memory, confusion, or difficulty performing daily tasks. If you notice these signs, consult a healthcare professional for an evaluation and proper diagnosis.

Chronic Conditions:

Aging often coincides with an increased risk of chronic health conditions such as diabetes, heart disease, arthritis, and hypertension. According to the Centers for Disease Control and Prevention (CDC), about 80% of older adults have at least one chronic condition, while 77% have two or more. Pay attention to your aging parent’s symptoms, medication management, and any changes in physical abilities. Regular medical check-ups and adherence to prescribed treatments are crucial for managing these conditions effectively.

Mobility Issues:

With advancing age, seniors may experience reduced mobility due to joint pain, muscle weakness, or other factors. Falls are a significant concern among the elderly, with one in four Americans aged 65 and older falling each year, as reported by the National Council on Aging (NCOA). To mitigate the risk of falls, ensure that their living environment is safe and free from hazards. Consider installing grab bars in the bathroom, providing adequate lighting, and encouraging the use of assistive devices like canes or walkers if necessary.

Vision and Hearing Impairments:

Vision and hearing loss are common age-related issues that can significantly impact daily life. The National Institute on Deafness and Other Communication Disorders (NIDCD) estimates that approximately one in three people aged 65 to 74 have hearing loss, and nearly half of those over 75 have difficulty hearing. Regular eye exams and hearing tests can help detect and manage these impairments early, leading to improved communication and overall well-being.

Conclusion:

Being proactive in recognizing common health issues in aging parents is vital for providing them with the care and support they need. Regular communication with healthcare professionals, attentiveness to changes in their physical and cognitive well-being, and maintaining a safe living environment are essential steps in promoting their overall health and quality of life. By staying informed and observant, we can be better prepared to navigate the challenges of aging together with our loved ones.

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Article on the Importance of Human Connection

May 1, 2023 /

A recent study by Harvard Medical School found that older adults who had in-person interactions with friends, family, and healthcare providers during the first months of the COVID-19 pandemic experienced fewer mental health problems than those who relied on digital connections. The study suggests that digital technologies may not be suitable for the needs of older adults and may cause anxiety and depression. 

Another study by Harvard’s Joint Center for Housing Studies found that older adults living with a spouse or partner during the pandemic had fewer functional difficulties and disruptions to their finances or personal assistance than those living alone. 

The studies emphasize the importance of in-person interactions and better technology to meet the needs of older adults. Seniors over 75 were found to require more assistance with daily living. Click here to read the full article.

Being Social May Be Key to ‘Sense of Purpose’ as You Age

August 22, 2022 /

Researchers from Washington University in St. Louis found that positive connections with other people were associated with a sense of purposefulness in older adults. Having a sense of purpose is defined as the extent to which a person feels that they have personally meaningful goals and directions guiding them in life.

Source: Being Social May Be Key to ‘Sense of Purpose’ as You Age – Consumer Health News | HealthDay

Most People Are Confused by Medicare

August 17, 2022 /

Financial Planners are failing big time to educate their age 65 or over clients about one of the most significant financial decisions they will make. Medicare applicants are confused about which health plan is right for them. Many seniors do not know enough about plan components, are bombarded by Medicare advertising, and lack the knowledge to choose a plan that meets their needs.

These are the conclusions of a newly released study by Sage Growth Partners, a national health care consultancy. Key findings in the study include:

  • Only 20% of Medicare-eligible individuals have a good understanding of Original Medicare; only 31% have a good understanding of Medicare Advantage.
  • 63% are “overwhelmed” by Medicare advertising; only 31% of respondents “strongly agree” that they can make effective selection decisions.
  • More than half (58%) stay in their current Medicare plan each year rather than reviewing their plan options and enrolling in the best plan for their evolving needs.
  • 33% have a financial advisor, but only 2% use that advisor to help with plan selection.

Source: New Report Reveals Significant Gaps in Medicare Knowledge Among Older Adults

Regarding their experience with working with Medicare as an institution, respondents to the survey rated their experience with Medicare as “poor to terrible.”

Respondents who were newly eligible for Medicare (those aged 64) give
their experience the lowest possible score (-50). The only age group to give it a positive score were those aged 76 and older. By comparison, cable TV providers, notorious for low customer approval, have an average NPS (Net Promotor Score) score of +2.

Check out our 2022 Flipbook Guide to Medicare for a comprehensive explanation of Medicare Parts A, B, C, & D as well as the Medicare Supplemental policy options.

Most Have No Plan for Long Term Care

August 15, 2022 /

HGC, an Aging-In-Place research and product development company based in Connecticut partnered with non-profit Arctos Foundation to survey Americans’ preparedness for long term care.

Key findings:

  • 70% of respondents have no advance directive in place, and just one in ten have long-term care insurance.
  • Most respondents have not spoken with a family member or loved one about wishes for Long Term Care.
  • Those with a spouse or partner are more likely to expect a need for long-term care services and supports, but are no more likely to have long-term care insurance in place.

Source: Independent Research | HCG Secure

To help families understand and discuss the issues surrounding planning for long term care, we have two excellent flipbooks on the topic of Essential Estate Planning, and Understanding Long Term Care.

Social Isolation Affects Heart Health, Cognition

August 8, 2022 /

Two new studies show the effects that social isolation and loneliness can have on cardiovascular health and cognitive decline.

The two studies provided several compelling links between social engagement and mental or physiological health. Some of the findings include:

  • Social isolation and loneliness are common but are under-recognized as contributing to cardiovascular and brain health.
  • The lack of social connection is associated with an increased risk of premature death from all causes, especially among men.
  • People who experience social isolation or loneliness are more likely to experience chronic stress and depression. Depression can also lead to social isolation.

Source: Social Isolation Affects Heart Health, Cognition

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