Friday, October 29, 2010

10 Things You Should Know About Writing a Will

Who inherits the good silver is just the beginning.

by: Brett Widness | from: AARP | September 30, 2010
Writing a will isn't the most pleasant of tasks. After all, by doing so you're not only acknowledging your own inevitable demise but actively planning for it. That might explain why so many adults avoid this cornerstone of estate planning. According to an AARP survey, 2 out of 5 Americans over the age of 45 don't have a will.
But creating a will is one of the most critical things you can do for your loved ones. Putting your wishes on paper helps your heirs avoid unnecessary hassles, and you gain the peace of mind knowing that a life's worth of possessions will end up in the right hands.
"A will is an important way you can stay in control over who gets what of your property," says Sally Hurme, an attorney with AARP, "and by planning in advance you can also save your family time and money."
The laws governing wills vary from state to state. If you aren't familiar with them, consider consulting a knowledgeable lawyer or estate planner in your area. Before you do, brush up on these 10 things you should know about writing a will.
What is a will?
A will is simply a legal document in which you, the testator, declare who will manage your estate after you die. Your estate can consist of big, expensive things such as a vacation home but also small items that might hold sentimental value such as photographs. The person named in the will to manage your estate is called the executor because he or she executes your stated wishes.
A will can also serve to declare who you wish to become the guardian for any minor children or dependents, and who you want to receive specific items that you own — Aunt Sally gets the silver, Cousin Billy the bone china, and so on. Someone designated to receive any of your property is called a "beneficiary."
Some types of property, including certain insurance policies and retirement accounts, generally aren't covered by wills. You should've listed beneficiaries when you took out the policies or opened the accounts. Check if you can't remember, and make sure you keep beneficiaries up to date, since what you have on file when you die should dictate who receives those assets.
What happens if I die without a will?
If you die without a valid will, you'll become what's called intestate. That usually means your estate will be settled based on the laws of your state that outline who inherits what. Probate is the legal process of transferring the property of a deceased person to the rightful heirs.
Since no executor was named, a judge appoints an administrator to serve in that capacity. An administrator also will be named if a will is deemed to be invalid. All wills must meet certain standards such as being witnessed to be legally valid. Again, requirements vary from state to state.
An administrator will most likely be a stranger to you and your family, and he or she will be bound by the letter of the probate laws of your state. As such, an administrator may make decisions that wouldn't necessarily agree with your wishes or those of your heirs.
Do I need an attorney to prepare my will?
No, you aren't required to hire a lawyer to prepare your will, though an experienced lawyer can provide useful advice on estate-planning strategies such as living trusts. But as long as your will meets the legal requirements of your state, it's valid whether a lawyer drafted it or you wrote it yourself on the back of a napkin.
Do-it-yourself will kits are widely available. Conduct an Internet search for "online wills" or "estate planning software" to find options, or check bookstores and libraries for will-writing guides. Your state's departments of aging also might be able to direct you to free or low-cost resources for estate planning.
And while you're working on your will, you should think about preparing other essential estate-planning documents. "When you create or update your will, that's also a good time to think about other advance-planning tools like financial and health care powers of attorney to ensure that your wishes are carried out while you're still alive," says Naomi Karp of AARP's Public Policy Institute.
Should my spouse and I have a joint will or separate wills?
Estate planners almost universally advise against joint wills, and some states don't even recognize them. Odds are you and your spouse won't die at the same time, and there's probably property that's not jointly held. That's why separate wills make better sense, even though your will and your spouse's will might end up looking remarkably similar.
In particular, separate wills allow for each spouse to address issues such as ex-spouses and children from previous relationships. Ditto for property that was obtained during a previous marriage. Be very clear about who gets what. Probate laws generally favor the current spouse.
Who should act as a witness to a will?
Any person can act as a witness to your will, but you should select someone who isn't a beneficiary. Otherwise there's the potential for a conflict of interest. The technical term is adisinterested witness. Some states require two or more witnesses. If a lawyer drafts your will, he or she shouldn't serve as a witness.
Not all states require a will to be notarized, but some do. Check. You may also want to have your witnesses sign what's called a self-proving affidavit in the presence of a notary. This affidavit can speed up the probate process because your witnesses likely won't be called into court by a judge to validate their signatures and the authenticity of the will.
Who should I name as my executor?
You can name your spouse, an adult child, or another trusted friend or relative as your executor. If your affairs are complicated, it might make more sense to name an attorney or someone with legal and financial expertise. You can also name joint executors, such as your spouse or partner and your attorney.
One of the most important things your will can do is empower your executor to pay your bills and deal with debt collectors. Make sure the wording of your will allows for this, and also gives your executor leeway to take care of any related issues that aren't specifically outlined in your will.
How do I leave specific items to specific heirs?
If you wish to leave certain personal property to certain heirs, indicate as much in your will. In addition, you can create a separate document called a letter of instruction that you should keep with your will.
A letter of instruction, which isn't legally binding in some states, can be written more informally than a will and can go into detail about which items go to whom. You can also include specifics about any number of things that will help your executor settle your estate including account numbers, passwords and even burial instructions.
Another option is to leave everything to one trusted person who knows your wishes for distributing your personal items. This, of course, is risky because you're relying on this person to honor your intentions without fail. Consider carefully.
Where should I keep my will?
A probate court usually requires your original will before it can process your estate, so it's important to keep the document safe yet accessible. If you put the will in a bank safe deposit box that only you can get into, your family might need to seek a court order to gain access. A waterproof and fireproof safe in your house is a good alternative.
Your attorney or someone you trust should keep signed copies in case the original is destroyed. Signed copies can be used to establish your intentions. However, the absence of an original will can complicate matters, and without it there's no guarantee that your estate will be settled as you'd hoped.
How often does a will need to be updated?
It's possible that your will may never need to be updated — or you may choose to update it regularly. The decision is yours. Remember, the only version of your will that matters is the most current valid one in existence at the time of your death.
With that in mind, you may want to revisit your will at times of major life changes. Think of pivotal moments such as marriage, divorce, the birth of a child, the death of a beneficiary or executor, a significant purchase or inheritance, and so on. Your kids probably won't need guardians named in a will after they're adults, for example, but you might still need to name guardians for disabled dependents. A rule of thumb: Review your will every two or three years to be safe.
Who has the right to contest my will?
Contesting a will refers to challenging the legal validity of all or part of the document. A beneficiary who feels slighted by the terms of a will might choose to contest it. Depending on which state you live in, so too might a spouse, ex-spouse or child who believes your stated wishes go against local probate laws.
A will can be contested for any number of other reasons: it wasn't properly witnessed; you weren't competent when you signed it; or it's the result of coercion or fraud. It's usually up to a probate judge to settle the dispute. The key to successfully contesting a will is finding legitimate legal fault with it. A clearly drafted and validly executed will is the best defense.
http://www.aarp.org/money/estate-planning/info-09-2010/ten_things_you_should_know_about_writing_a_will.2.html

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Thursday, October 21, 2010

Elderly at greater risk for fire related deaths


  • October 14th, 2010 3:03 pm ET

Americans over the age of 65 are one of the groups at greatest risk of dying in a fire. People over the age of 80 die in fires at a rate three times higher than the rest of the population. Many steps can be implemented to reduce becoming a fire casualty.
Older Americans are at risk for fire death and injuries for a number of reasons:
· They may be less able to take the quick action necessary in a fire emergency.
· They may be on medication that affects their ability to make quick decisions.
· Many older people live alone and when accidents happen others may not be around to help.
Fire Hazards that affect older people:
· Cooking accidents are the leading cause of fire related injuries for older Americans. The kitchen is one of the most active and potentially dangerous rooms in the home.
· The unsafe use of smoking materials is the leading cause of fire deaths among older Americans.
· Heating equipment is responsible for a big share of fires in seniors' homes. Extra caution should be used with alternate heaters such as wood stoves or electric space heaters.
· Faulty wiring is another major cause of fires affecting the elderly. Older homes can have serious wiring problems, ranging from old appliances with bad wiring to overloaded sockets.
Safety Tips for Older Americans
· Kitchen Fires - most kitchen fires occur because food is left unattended on the stove or in the oven. If you must leave the kitchen while cooking, take a spoon or potholder with you to remind you to return to the kitchen. Never cook with loose, dangling sleeves that can ignite easily. Heat cooking oils gradually and use extra caution when deep-frying. If a fire breaks out in a pan, put a lid on the pan. Never throw water on a grease fire. Never use a range or stove to heat your home.
· Space Heaters - buy only Underwriter's Laboratory (UL) approved heaters. Use only the manufacturer's recommended fuel for each heater. Do not use electric space heaters in the bathroom or around other wet areas. Do not dry or store objects on top of your heater. Keep combustibles away from heat sources.
· Smoking - do not leave smoking materials unattended. Use "safety ashtrays" with wide lips. Empty all ashtrays into the toilet or a metal container every night before going to bed. Never smoke in bed.
· Smoke alarms -dramatically increases your chances of surviving a fire. Practice a home escape plan at least every 6 months with your family or neighbors.

http://www.examiner.com/senior-care-in-national/elderly-at-greater-risk-for-fire-related-deaths

"Learn About Senior In Home Health Care in Tarpon Springs and New Port Richey Florida Senior Helpers Provides Many services in The Tarpon Springs and New Port Richey Florida area. We provide a full array of Home Care services for seniors and the elderly living in the beautiful Suncoast area. Our Home Care Services are provided by bonded and insured employees and all employees pass a National Background check. If you need Home Care services in Tarpon Springs, New Port Richey, Hudson, Holiday, Spring Hill, East Lake and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of Tarpon Springs Home Health Care Company. "

Saturday, October 16, 2010

When Your Elderly Parents Move in with You

Here's a tough one . . . Your Mom and/or Dad has moved in with you. At some point s/he told you s/he wants to pay you something to help defray the cost and you said no. Or maybe when the subject came up and you were uncomfortable and said "let's discuss it later".

I mean. . . what do you say? Your aging loved one is now living with you so s/he is not a guest. In fact, it's even worse than that . . . they're your parents!! After all they've done for you, can you seriously ask them to pay rent? So now s/he has moved in with you and the issue of money has never been resolved.

First of all, repeat after me: "Yes, s/he is my parent but we're not living together as parent and child - we're living together as adults and this is an adult/adult relationship." Please keep this mantra in mind. You might even want to print it out and tape it onto your mirror.

And second, no, I'm not saying they should pay rent or any expenses. Nor am I saying they shouldn't. You may have plenty of money and you don't want them to pay for anything. Or you many need them to chip in and help defray some of the costs. And frankly, your aging loved one probably wants to contribute something. The point is that money is one of the most sensitive issues you'll have to address with your aging loved one so it shouldn't be ignored either.

The thing about expenses is that usually they are in such small, "insignificant" amounts that you don't realize how much money you're actually spending. Whether it's paying for things like medications or purchasing additional food or toilet paper or Depends, whether it's gas for visits or to take them to appointments, or whether it's installing safety bars in the bathroom, caregiving can have a significant economic impact on a family. In fact - a 1998 study found that 49% of Baby Boomer women caregivers suffered "financial hardship" as a result of their caregiving.

Unfortunately, most Baby Boomer women weren't raised to be comfortable establishing boundaries or asking for what they need - financially or otherwise. While you're not looking to make any money from your loved one living with you, it shouldn't cost you anything either. You may not want them to pay for anything but over time, you may end up suffering "financial hardship" as a result of caregiving and resent the cost or worse yet . . . resent your aging loved one.

So what do you do?

1.    The first step to determining how much your aging loved one might pay is looking at how much money they have. If they have very little (not enough even to cover basic costs) then you will have to pay some of the expenses yourself or ask your sibs to chip in. It's important to be prepared for that. You will also want to talk with your accountant to see if there is anything you can do on your taxes.

2.    Then guesstimate all the expenses and compare that number with how much they actually have to contribute. Bear in mind that initially you'll be guessing and you may need to revise the amount later on. If that happens tell them "We agreed to $XXXX . Unfortunately that amount turned out to be unrealistic. We need to take a look at the numbers again."

3.    Rather than getting reimbursed for expenses - and therefore having to keep track of every expense (eg: $5 deductible when you pick up their prescriptions, special foods) - have them give you a set amount - whether monthly or quarterly - that you'll work from. Whether or not you refund any leftover money is up to the two of you.

4.    Openly discuss with your aging loved one what the money is for. However, while they're entitled to know, it need not become a "nickel/dime" issue. In other words, rather than accounting for every roll of toilet paper for example, give them a general figure for sundries.

5.    Over and above expenses, you may want them to pay a set amount to help defray the cost of such expenses as the rent/mortgage, utilities, etc.

6.    However, while they may only be able to pay very little, they probably want to pay something. Be creative. Perhaps they'll pay for a meal once a month (either out or at home) and even that can be as much or as little as they can comfortably afford.

VERY IMPORTANT: Make sure they have "walking around" money - money that is theirs and for which they account to no one. Rather than having them give you all their money and then giving them an "allowance" (which is very demeaning), it's better to have them give you what was agreed to EXCEPT for their own spending money. Whether they save for the holidays or buy drinks or lunch for friends or wager on a friendly game of Bingo - it's theirs and how they spend it or when they spend it is their business. However, if they come back to you for more at the end of every month, then it becomes your business.

Some things to think about:

Consider the one-time expenses required to get your house ready (such as banisters, tub rails, etc) and get that reimbursed or have them pay for it directly. This would be separate from the monthly expenses.

Start by looking at and addressing the current situation with the understanding that needs will change over time. It's important to discuss this in the very beginning. For example, you may start by getting money for miscellaneous expenses but eventually have to be reimbursed for such things as:

- in-home aide while you're at work

- additional remodeling to accommodate their needs (eg changing the tub to a shower)

- a "fill-in caregiver when your work takes you away

If there are physical and/or cognitive issues, I strongly recommend that you get on their checking account NOW before there's a need so you can still pay for their care even if they can no longer write checks.

I can appreciate that this all may sound kind of mercenary but consider the following . . . part of an email that came to me from a client: "She (my mother) also told us that, since we were working so hard in an effort to sell our home and buy a new home to accommodate her more comfortably, she was going to buy all the groceries and cook all the meals so that I didn't have to food shop or cook. She gave me one $20 bill for one lunch and never mentioned it again! Now every time I make a meal I get angrier and angrier."

Don't let this happen to you - address the money issue openly right up front and it won't have to!!

Barbara Friesner

AgeWiseLiving LLC

Eldercare Issues Resolved By Choice, Not Crisis

http://www.evancarmichael.com/Work-Life/4336/When-Your-Parents-Move-in-with-You.html

Wednesday, September 29, 2010

Concerns Rise About Continuing-Care Enclaves

By ELIZABETH OLSON
Published: September 15, 2010
FOR middle- and upper-income retirees who had the money, it was almost a no-brainer in recent years to choose living in a continuing-care retirement community. They could move, as the need arose, from independent living to assisted care to skilled nursing care — all without leaving the community.
Well-off older people like Charles W. Prine Jr. of Pittsburgh, a former home building executive, plunked down six-figure entrance fees for a spot in a spacious, well-kept colony with amenities like organized outings, prepared meals and musical performances.
"We thought it would be a great place to be," said Mr. Prine, 84, who, along with his wife, Elizabeth, moved into an independent living unit in nearby Mount Lebanon, in southwest Pennsylvania, in 2002. "It was a kind of insurance so you could be taken care of, at the same price, when you or your spouse needed more care eventually."
The community, then called the Covenant at South Hills, was one of about 1,900 aging-in-place operations — many with waiting lists — that sprouted around the country, especially in California, Florida, the Midwest and the mid-Atlantic states, and provided homes for 900,000 people.
Few of the communities — about 80 percent of which are operated by nonprofit organizations — have closed or gone bankrupt. But concerns are rising about their financial stability, entrance fees and how the fees are used, and reduced services. Governmental inquiries at several levels have voiced concerns and called on the communities' operators to disclose more information about their finances to residents and prospective customers.
Choosing to enter a continuing-care retirement community "can be a difficult decision and is not without significant financial and other risks," said the Government Accountability Office, the investigative arm of Congress, in a report released in July.
Buyers should consult a lawyer before committing their savings to a promise of lifetime health care, said the G.A.O., which examined industry practices at the request of the Senate Special Committee on Aging. The committee produced a separate study of five communities.
Larry Minnix, president of the American Association of Homes and Services for the Aging, an industry group, said his group supported the G.A.O.'s recommendations because "putting up an entry fee is a risk, perhaps a little risk, but it is a risk."
According to the studies, the financial risk is that the operators could use the entrance fees, which this year averaged about $250,000, to cover operating costs or to pay debts from construction. The entrance fee is generally refundable to residents who move out or to their heirs.
Only 875, or fewer than half, of all such communities require entrance fees, said Robert G. Kramer, president of the National Investment Center for Services, Housing and Care, which provides financial data on housing for older residents.
In addition to the entrance fee, most residents pay a monthly bill of $2,000 or more that goes to pay for services and maintenance. Because the labor-intensive care for residents in poor health often costs more than the monthly fee, the money from new, healthier residents is sometimes used to help pay for the care of the less healthy.
But the flow of new customers has been endangered by the housing downturn, which has made it difficult for the elderly to sell homes or, at least, to sell them for the price they had anticipated. The communities are "particularly vulnerable during economic downturns, as stagnant real estate markets drive down occupancy levels in independent living units," the G.A.O. report found.
The communities' financial models have also come under scrutiny as some heirs and former residents have begun to ask legislators to look into lengthy delays in recouping entrance fees.
Recently, questions have also been raised over whether entrance fees are taxable. One operator, the Classic Residence by Hyatt, now renamed Vi, tangled with the Internal Revenue Service over whether entrance fees were prepaid rent, which is taxable income. Tax officials decided that in Hyatt's case, the refundable portion was a loan and not taxable. But the I.R.S. cautioned that in other situations such fees might be counted as income.
Shivers also went through the industry when Erickson Retirement Communities, one of the largest operators with 19 communities and more than 23,000 residents in a dozen states, filed for bankruptcy protection last year after it accumulated $3 billion in debt in a major expansion effort. It emerged from bankruptcy in April after being sold to an investment firm.
State insurance regulators need to keep better tabs on the finances of such communities, Alicia P. Cackley, the G.A.O.'s director for financial marketing and community investment, told the Senate Aging Committee at a hearing in July.
The government's report noted that 12 states and the District of Columbia do not have specific rules governing the communities. The report looked specifically at the practices of eight states: California, Florida, Illinois, New York, Ohio, Pennsylvania, Texas and Wisconsin.
Florida, which has 73 licensed continuing-care retirement communities with 30,000 residents, is stricter than most states and closely oversees the $1.4 billion industry there, the state insurance commissioner, Kevin M. McCarty, testified at the hearing.
After several prominent bankruptcies in Florida and nationally years ago, the regulatory climate for continuing-care retirement communities evolved, Mr. McCarty said. Florida's Legislature this year increased the amount of financial data that must be disclosed to prospective and current residents.
If that had been the case in Pennsylvania, Mr. Prine said, his community might have avoided bankruptcy last year. "That cost the residents the $26 million we paid in refundable deposits," he said. "We didn't get a penny back."
Concordia Lutheran Ministries, of Pittsburgh, bought the community, renamed it Concordia of the South Hills, and honored the residency agreements and the life-care contracts. But about 100 residents are suing the previous owner, B'nai B'rith Housing, a nonprofit affiliate of B'nai B'rith International, as well as the parent organization, to recoup their entrance fees.
Michael Plummer, a lawyer for Mr. Prine and other residents, said: "B'nai B'rith International set up an affiliate called Covenant at South Hills, and had its own directors and officers serving as the affiliate's directors and officers.
"B'nai B'rith International contracted with the affiliate to receive a $1 million licensing fee and half of the facility's net operating income in exchange for use of its name and logo in marketing. Seniors relied on B'nai B'rith's reputation when they decided to move into the facility and pay their entrance fees."
In effect, Mr. Plummer said, B'nai B'rith Housing and the Covenant at South Hills, "were shell organizations run by B'nai B'rith International."
B'nai B'rith Housing submitted written testimony to the Senate aging committee after its July hearing, explaining that "for a variety of reasons, including unfavorable economic conditions, the Covenant failed to meet all of its pro forma projections."
The project was weighed down by debt, the statement said, but the testimony — which did not list any names — insisted that B'nai B'rith executives had participated "in many personal visits, town-hall style meetings and teleconferences, all of which gave the residents a forum to share concerns."
Sharon Bender, spokeswoman for B'nai B'rith International and the housing affiliate, said the two groups were "affiliated nonprofit companies, neither of which has ownership interest in the other." The written statement to Congress, she said, "stands as what we have," adding, "We're not going beyond that testimony."
Mr. Minnix of the industry group said that a clear majority of such communities were nonprofits, adding: "This concept extends back 150 years or more. Masons, Catholics and others sponsored them to take care of the aging. Later they were called 'life care'; then about 40 years ago, the modern version, with comprehensive-care campuses, started. It was a form of insurance for prepaid care."
The Senate Aging Committee study, which did not identify the communities it had examined, found that "all five of the entities are either experiencing cash flow problems, struggling with debt or both."
Despite investing their life savings, residents and their concerns have often been ignored, and they have been excluded from their community's governing council, said Katherine C. Pearson, a Pennsylvania State University law professor who specializes in legal issues and aging.
"My sense is that facilities are moving in the direction of complexity" in their finances, she said, "sometimes driven by the need for more cash or resources to stay solvent."
Few residents complain, she said, because "they fear they will be shunned, encouraged to leave their homes or subjected to other negative response if they talk about what they perceive as problems."
Even so, residents' groups call her weekly, she said, to ask for advice.
"We have to see whether we're past the worst, or if we're at the start of a more difficult period for these facilities financially," said Professor Pearson. "They're not out the woods yet."

http://www.nytimes.com/2010/09/16/business/retirementspecial/16CARE.html?pagewanted=2&_r=1&ref=elderly

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If you need Home Care services in Tarpon Springs, New Port Richey, Hudson, Holiday, Spring Hill, East Lake and the surrounding areas we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers of Tarpon Springs Home Health Care Company. "

Friday, September 24, 2010

Backup eldercare helps caregivers balance work and family responsibilities


By Lydell C. Bridgeford
June 1, 2008
When UPS employee Diane Davies needed help in taking care of her dad, who is in his 80s, a coworker told her to try Senior Helpers, a service provider that offers backup eldercare.

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"My mom had gone into the hospital to have an operation, and during the procedure she had a stroke," says Davies, who works at UPS's airline division in Louisville, Ky.
Her mother, also in her 80s, went into rehabilitation. "During that time, my dad really couldn't stay at home by himself, so my brother and I had to stay with him, but I also had to work," explains Davies, who didn't take the traditional route of contacting her employee assistance program for eldercare advice.
Davies' experience at UPS reflects how employers are recognizing that workers who are caring for an aging relative need an array of options to successfully manage professional and family responsibilities. Yet in offering eldercare programs and services, employers may sometimes struggle in communicating those efforts to their workforce.
Spreading the word
Even though companies have eldercare programs and services, employees do not always know about them, says Kathleen O'Brien, senior gerontologist with MetLife Mature Market Institute.
The Connecticut-based institute, which studies retirement and aging issues, conducted a survey of employees who were caregivers that worked at three Fortune 500 companies offering robust eldercare benefits.
"Two-thirds of the respondents did not know that the employer had those programs," says O'Brien.
"The company may announce the services, but people are not thinking about them when they are announced, and when they become a caregiver, it's not upfront anymore."
The implication for employers is to increase employees' knowledge about eldercare services. Citing research from the Society for Human Resource Management, O'Brien says about 11% of employers train their middle managers about caregiving programs and how to work with employees using those services.
Research from the institute also shows nearly 63% of all caregivers ages 51 to 64 work, with most employed full-time. About 75% of them are the primary caregiver. In addition, male and female children of aging parents alter their work schedules to accommodate caregiving responsibilities.
For instance, 54% of men and 56% of women have modified their work schedules, with 78% of men and 84% of women coming in late and/or leaving early. In addition, 38% of men and 27% of women have altered their work-related travel.
Bottom-line implications
More employers are starting to understand the financial toll eldercare may have on their bottom line, O'Brien confirms.
In 2006, the MetLife Mature Market Institute and the National Alliance for Caregiving reported that U.S. companies pay between $17.1 billion and $33.6 billion annually in lost productivity due to caregiving, depending on the level of caregiving involved. That equals $2,110 for every full-time worker who cares for an adult relative, notes AARP.
Historically, most eldercare services offered in the workplace resembled the childcare benefit model in terms of offering information and referrals to agencies that could help workers who were caregivers.
Some companies have moved to a more sophisticated model in which they provide a care management visit, where a long-term care specialist talks with the family to sort out the caregiving issues, explains O'Brien. What's more, some employers have onsite support groups, while others provide substantive resource materials written by caregiving experts.
"We don't really think of flextime as specifically for eldercare, but the ability [to take a] leave of absence without it impacting your job, and the ability to arrange your schedule in a different way, are benefits that help people deal with eldercare," she says.
Lending a helping hand
Maryland-based Senior Helpers provides in-home personal and companion care for seniors. This includes help with housework, meal preparation, errands, transportation, medicine reminders and Alzheimer's care.
UPS, which employs about 358,000 U.S. workers, offers an employee discount program where it collaborates with companies that provide group discounts on services and products, including Senior Helpers.
"Employees who may have the need to use Senior Helpers for services are offered a discount through Senior Helpers," says Jackie Blair, a UPS spokeswoman.
In Davies' case, it was a 10% discount on services rendered for a week. "It went smoothly, but more then anything, it took a lot of pressure off me in terms of work and taking care of my dad," says Davies, who has been with the package delivery company for 15 years. She is part of its administrative staff in the international support unit.
"I felt like he was being taken care of. He is at the point where, if something were to go wrong with the services, he would be able to tell me," Davies explains. "I never felt, as a caregiver, I was under a lot of pressure to retain my job." Management has been accommodating, she adds.
As the population ages, more people will start to have loved ones who are living longer. Consequently, they will need some extra help in taking care of those individuals, says Tony Bonacuse, president of Senior Helpers.
"We want to help employers understand the cost associated with eldercare crises and what workers who are caregivers are going through," he explains.
The idea for the company originated, in part, by watching his mother, who was working part-time, struggle to find professional help to assist her with taking care of one grandmother with a broken ankle and another one with a hip replacement. Both women were in their 80s.
"Unless you have had a need for homecare, you really do not realize our industry exists outside of the general health care industry," Bonacuse adds.
"In a lot of respects, senior care has been an underground issue," says Cindy Carrillo, president of Colorado-based Work Options Group, which offers backup care for infants, school-aged children and seniors.
"When someone has a baby, employers see the process unfold, and then the employee has the baby and pictures to show for it. You don't talk about mom falling and breaking a hip," she adds. "We're trying to help educate employers that senior care is a concern."

http://ebn.benefitnews.com/news/backup-eldercare-helps-caregivers-balance-work-586401-1.html

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Friday, September 17, 2010

A New Era in Nursing: Community Health and Aging Population Shift RN Employment

By Cathryn Domrose
Sunday September 12, 2010

The fastest-growing nursing jobs in coming years will require strong critical thinking skills, an ability to work independently and in cooperation with other providers, an understanding of how healthcare systems work, and familiarity with the needs of older adults. And they won’t necessarily be in hospitals.

“There will always be hospital jobs, but I think we should expect to see a lot more jobs in what we call community health,” says Linda Tieman, RN, MN, FACHE, executive director of the Washington Center for Nursing and board president of the Forum of State Nursing Workforce Centers.

The Statistics
Despite a slow period, due mostly to a sluggish economy, RN employment is expected to grow by 22% from 2008 to 2018, “much faster than the average for all occupations,” according to the 2010-11 edition of Bureau of Labor Statistics Occupational Outlook Handbook. But not all healthcare industries will be hiring nurses at the same rate. Though hospitals employ about 60% of all RNs, that share is expected to drop as healthcare reform, technological innovations and cost-cutting trends provide incentives to take care of more people in the community.

The fastest-growing RN jobs will be in physician offices (48% growth rate), home health (33% growth rate), and nursing care facilities (25% growth rate), according to federal projections. Hospital jobs will continue to increase as nurses get older and start to retire, but at a lower rate (17%) than other healthcare settings.

“While the intensity of nursing care is likely to increase, requiring more nurses per patient, the number of inpatients is not likely to grow by much,” the Labor Department report states, noting that earlier discharges and more outpatient procedures will keep hospital patient populations relatively stable.

Still, some nursing workforce researchers point out that an increasingly large aging population with multiple chronic conditions likely will mean an increase in hospital patients as well as patients in community care.

Healthcare Reform Effect
Healthcare reform, with its emphasis on prevention and coordinated care, also will help produce a shift from the hospital to the community, says Sheila A. Haas, RN, PhD, FAAN, a professor of the Niehoff School of Nursing at Loyola University Chicago and a past president of the American Academy of Ambulatory Care Nursing. “Much of the [newly passed Patient Protection and Affordable Care] Act isn’t about acute care, it’s about care in the community. The more I delve into the legislation, the more jobs I see.”

With a federal investment of $11 billion into community health centers — authorized by the healthcare reform legislation signed in May — the number of patients seen in the centers is expected to double in coming years, says Mary K. Wakefield, RN, PhD, FAAN, head of the Health Resources and Services Administration. Nurses make up the largest group of workers at the centers, and the need for primary care nurses at all educational levels will increase, she says.

Traditionally, nurses worked for at least a year or two in acute care before going into the community, say nurse leaders and educators, but the demand for nurses from all fields will mean new graduates should have expanding opportunities to go straight into community care areas such as ambulatory care, home health and public health. “The old bias was that you had to go to work in a hospital to be a real nurse,” says Geraldine Bednash, RN, PhD, FAAN, CEO and executive director of the American Association of Colleges of Nursing.

But new graduates can be hired directly into community care if they have the right education, training and support, say nurse leaders and educators. “I think it’s starting to change, but it just hasn’t changed enough yet,” says Beverly Malone, RN, PhD, CEO for the National League for Nursing. “I think it will continue to the point where you can graduate right into the community.”

To work in community health and hospitals, nurses need critical thinking skills and an ability to consider the needs of their patients in a variety of settings, not just when they are being seen in a clinic or hospital. For many nurse educators and nurse leaders, this means a bachelor’s degree or higher. “In baccalaureate programs, there’s more emphasis on leadership, care coordination and systems thinking,” Tieman says. “I think there’s a general agreement that nurses don’t need less education, they need more than they have. There’s more to understand with the complexity of the population.”

Physician Shortage Effect
Advanced degrees also will be in demand as a physician shortage is expected to produce more opportunities for nurses who can work in primary care, Bednash says. A federal plan to double the National Health Services Corps — which employs primary care practitioners in underserved areas — also will increase opportunities for nurse practitioners and nurse midwives, Wakefield says.

Most ambulatory care requires independence and the ability to know when and where to go for help, Haas says. “You may not see the patient for a couple of months, and if you’ve missed a chance for education or referral, you’ve missed it, and the patient doesn’t get the care,” she says.

Haas believes most nursing students are not exposed to ambulatory care as thoroughly as they should be. But many community health centers and long-term care facilities are working with nursing schools to provide places for new graduates to get clinical training. Federal funds for 10 nurse-run health centers have been allocated, with the intention that they serve as training grounds for students in nursing and other healthcare fields, in addition to providing care for underserved populations, Wakefield says.

New technology could allow instructors, using computers, phones and cameras, to monitor and support a number of students working in ambulatory or home care, Malone says.

Giving students a variety of experiences, perhaps through residency programs, would help reinforce the idea that care occurs in many places besides a hospital, Malone says. Patients and families need someone to help them navigate a network of providers, medications and information, whether they are in a hospital bed, a clinic, a long-term care facility or their homes. “That kind of systems thinking is what we really need nurses to have,” she says.

Aging Boomers Effect
Nursing students and new graduatesshould seek ways to work with elderly people, whether in long-term care, senior centers or home health, says Martha S. Anderson, DNP, CNS, FNGNA, associate professor at Jefferson College of Health Sciences in Roanoke, Va., and a National Gerontological Nursing Association board member. Once they begin to understand the needs of older adults, nursing students almost always enjoy working with them, she says. Though most nursing schools offer some instruction on older adults, many could expand in this area by offering specific education on aging and aging services taught by gerontological nurses or others who specialize in working with older adults, she says, and by working with skilled nursing facilities, home health agencies and other long-term care services to offer clinical experience.

“I think nurses have a huge responsibility and opportunity to become experts in geriatric care,” Anderson says. “That is the patient population, and it’s going to grow.”

Cathryn Domrose is a staff writer.

http://news.nurse.com/article/20100912/NATIONAL01/109130045/-1/frontpage

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If you need Home Care services in the US and Canada, we are an excellent choice with impeccable references. Home Health Care for your elderly loved ones is never an easy choice but we can promise we will do our best to make it as painless as possible. From our family to yours we sincerely thank you for considering Senior Helpers Home Health Care Company.