Should home health care workers only make minimum wage?

In New Jersey there is a law on the books to reduce the reimbursement rates for home healthcare professionals to those of 1991. These professionals administer quality healthcare with the best equipment used in home healthcare. This change would essentially cut their earnings down to minimum wage.

Many believe that keeping quality, caring healthcare providers at these rates will be very difficult to hold on to. Receiving care from a well educated caring individual will likely be replaced by someone just looking for that hourly paycheck.

Lobbyists have been able to postpone the changes until November 2012, the transparent reason for the delay is that lawmaker’s don’t like to rock the boat this close to the election.

While lawmaker’s in the state claim to be actively seeking ways to reduce the number of elderly that are forced into nursing homes and other institutions, this law will leave many with no other option.

By reducing the reimbursement for the home healthcare providers, the number of qualified and or willing applicants dedicated to the home health service industry will decline. The decline will likely result in lower quantities and certainly lower quality healthcare professionals.

The article found here on northjersey.com gives a bit more information on this troubling issue.

 

 

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Seniors in Rural Areas Face More Isolation Even With Facebook

With the rise of Facebook, seniors are more connected with family and friends than ever before. With a few clicks of the mouse, or a few scrolls on an iPhone, seniors can quickly see what the grand-kids are doing, or find out how other loved ones are as well.

The caveat is that seniors in rural areas may be better connected through social media, but healthcare issues are becoming more challenging. Because of the difficulty of access to affordable, quality healthcare, many seniors pay higher rates for inferior care.

 

Difficulties in Rural Healthcare for Seniors:

  • The Percentage of retiring seniors is higher in rural areas versus their counterparts in urban areas. Due to this discrepancy in general seniors are in poorer health in more rural areas.
  • Transportation costs, or accessibility to public transportation to get to the higher quality healthcare in the urban areas can be prohibitive.
  • As home healthcare starts to become more of a need for more seniors in rural communities it is becoming harder to find qualified home healthcare workers, and medical supplies, because many medical care organizations are cutting overhead and letting go of some personnel that would be servicing the rural areas.
  • When key services are cut when dealing with healthcare, often times rural senior citizens are the first to feel the pressure.
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Would Robots be More Accepted by the Elderly?

Many people are under the false impression that Elderly citizens would be opposed to robot assistance in carrying out day to day activities.

When asked if robot assistance would be well received the results were actually quite favorable with certain tasks, and less so with other tasks. Robot assistance is actually preferred to human assistance on such things as cleaning, washing and folding of clothing, automated reminders to take medication, scheduling and other organizational tasks. There are some tasks that human touch is still preferred. Things such as eating meals, getting ready for the day, bathing, and getting dressed. These tasks are a little more personal and the social interaction is key for these.

As technology improves every year and the robots become better at performing nominal tasks and chores, the integration into the home health care market will be a welcomed improvement in making life easier.

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Should an Alzheimer’s Patient Have a Credit Card?

The question has been raised by a colleague of mine if I think an Alzheimer’s patient should have a Credit Card or not? This issue initially seems pretty straight forward. If the patient wants the card they should be able to have one. I am a strong advocate for a patient’s right to financial mobility and freedom but there are some disadvantages for an Alzheimer’s patient.

Disadvantages:

Difficulty remembering if a purchase is legitimate – Reading the small text of the Credit Card bill can be a challenge. After seeing the statement, there may be a moment of doubt as to if the purchase is legitimate or not. This doubt could cause a hesitation about calling the Credit Card company to have charges removed. This could cause fraudulent charges to go on without correcting the issue.

Delayed Response to Canceling Credit Card – After misplacing a Credit Card it may take a bit longer to make the decision to call and cancel the Credit Card. This extra time will give the identity thief more time to rack up purchases.

Home Health Care Workers Stealing Credit Cards – In a  recent article by Bay News 9 an elderly Alzheimer’s patient fell victim to an unscrupulous Nurse that placed multiple charges on her Credit Card before the theft was noticed.

While it may be difficult to let the Credit Card go, it is probably a good idea to be on the cautious side. The many disadvantages outweigh the convenience.

 

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Door to Door scams to watch out for

If you have a small group of people wanting to drop by your house unannounced and sell you some service like concrete work, home repair, or landscaping without first showing you legitimate business cards or calling you so you can research it may be a scam (Of course, this only works if you can hear them ring your doorbell OR knock on your door. I say this since my dad has a serious ear wax problem that makes him seem deaf from time to time)). Last week a few elderly couples in Michigan fell victim to this scam.

elderly scams, stealing money

Recently in Michigan police said a group of three men have victimized or attempted to victimize three elderly couples. The men posed as workers from a concrete company and distracted their victims as one of the three attempted to enter the home, according to police. The suspects stole money from a victim’s purse on one occasion.

These new scam artists try to get you focused in on the main person talking about what type of repairs you need and how they can help out while another one sneaks off and tries to take anything of value from your home that is not nailed down.

They can also might say they are from the local power company and are their to do a free energy audit (even wearing company uniforms).  Power companies NEVER send people without first calling and making an appoitnment.  They also request you to call them for an energy audit, not the other way around. Fundraising scams also happen, especially after times of nationally covered disastor.  If the charity or fundraiser is legitimate they will have no problem giving you contact information to verify they are doing work approved by the charity.

Remember also to go with your gut instinct.  If it doesn’t feel right and you don’t feel comfortable opening the door….DON’T. If you want to see some other popular scams out there check out the FBI’s Senior web page here on common frauds and how to protect yourself.

This blog entry was provided by Jason Monroe.  Thanks to DME Suppy Group for giving tips to seniors on scams to watch for in the future.

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6 Steps to stay cool for Seniors during the summer

The blazing summer is approaching an we need to be careful not to have heat exhaustion or even heat stroke, especially in the southern, low elevation states.

  • Drink water preferably or at least nonalcoholic beverages; if your doctor generally limits the amount of fluid you drink or prescribes water pills for you, ask how much you should drink when the weather is hot
  • Get plenty of rest
  • Take a cool shower, bath or sponge bath during the hottest time of the day.
  • Go somwhere there is an air conditioner; if your home is not air conditioned, visit an air-conditioned shopping mall, movie theater, or public library to cool off
  • Wear lightweight, loose-fitting, cotton clothing; if outdoors, wear a wide brimmed hat
  • Plan outdoor activities in early morning when it is cooler.

Heat strokeis the most serious heat-related illness and occurs when the body becomes unable to control its temperature. When the body’s temperature rises too fast, the body loses its ability to sweat and is unable to cool down. During heat stroke, body temperatures can rise to 103° F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if emergency treatment is not given. Various symptoms of heat stroke include an extremely high body temperature (above 103° F); red, hot and dry skin (no sweating); rapid, strong pulse; throbbing headache; dizziness; and nausea.

elderly senior heat exhaustion stroke

Watch for the symptoms of heat exhaustion before it's to late!

Here are some symtoms to watch for when you hitting heat exhaustion:

  • Heavy sweating
  • Paleness
  • Muscle Cramps
  • Tiredness
  • Weakness
  • Dizziness
  • Headache
  • Nausea or vomiting
  • Fainting
  • Skin: may be cool and moist
  • Pulse rate: fast and weak
  • Breathing: fast and shallow

What if it’s to late, and you find someone you love has already suffered a heat stroke. Here a few key steps to remember. First instruct someone to call for immediate medical assistance while you begin cooling the affected person by doing the following:

  • Take the person to a shady area or an air-conditioned facility
  • Cool the person rapidly by any means necessary – immerse the person in a tub of cool water, place the person in a cool shower, spray the person with cool water from a garden hose or sponge the person with cool water
  • Offer fluids such as water and fruit and vegetable juices, but avoid alcohol and caffeine.

This blog entry was provided by Jason Monroe.  Thanks to JRS Medical for taking care of the senior community through its reputable dealings with seniors and their needs.

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Sugary Drinks and the Health of your Heart

A recent long term study has found that men who consume more than one 12-oz sugar-sweetened beverage a day had a 20 percent higher risk of heart disease than those who did not drink any sugar- sweetened beverages,  The study also found that the consumption of sugar-sweetened beverages was linked to inflammation and higher levels of harmful fats in the blood.

The American Heart Association has already given its recommendation for not consuming more than 450 calories from sweetened drinks per week which is less than 3 cans of soda.  The men in the study, mostly white and from 40 to 75 years old, from 1986 to 2008 were questioned every two years about their eating habits  They also provided a blood sample halfway through the study period.  The artificially sweetened beverages did not increase the risk of heart attack even when the sugar-sweetened beverages were consumed only twice monthly than twice weekly.

The increased risk for heart disease in the men in the study who regularly drank sugar-sweetened beverages persisted even after the researchers controlled for other risk factors like smoking, physical inactivity, alcohol use and family history of heart disease.  The study ultimately finds that there is growing evidence that sugary beverages have damaging affects on the cardiovascular vascular health of those who consume them and provides strong justification to decrease the amount of sugary drink consumed.

Drinking regular or diet soda has previously been linked to diabetes and metabolic syndrome, a precursor to diabetes. Surprisingly, Gardener and colleagues failed to detect an increased cardiovascular risk among daily drinkers of regular soda.

“Unfortunately, it may be that individuals with poor dietary habits do resort in some kind of calorie balancing and continue to eat high-calorie sweet foods but reduce their guilt by drinking diet soda,” said Dr. Howard Weintraub, clinical director of the New York University Center for the Prevention of Cardiovascular Disease, explaining the propensity to wash down a high-fat meal with low-cal soda.

elderly man drinking soda palm trees

Sugary beverages have damaging affects on your cardiovascular vascular health

Heart disease is the leading cause of death in the United States.  While the study noted an association between sugary beverages and heart disease, it did not show cause and effect.

This blog was provided by Jocelyn Stewart.  Thanks to DME Supply Group for providing content for the Senior Living Rockies Blog.

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10 tips on reducing security delays at airports for seniors

Air travel security is already difficult in today’s troubled times — but it gets exponentially worse when you are older or have medical conditions. Luckily, there are things you can do to be better prepared as a senior, or caregiver to someone with extra medical challenges.  Problems can be as simple as struggling to make the long airport walk, or the traveler’s belongings aren’t organized with security in mind, colostomy supplies, or if the traveler’s body contains some metal that will beep.

Here are several tips I learned after speaking with a few passengers that have these challenges, and some tips from TSA too.  I am keeping these in mind for taking my 77 yr. old father on an international trip next year.

1. Drop them off first — Save yourself 30 minutes by dropping them off where taxis drop off passengers.  Find them a seat and let them wait for you while you park and get back to them.  Some parking garages are rather large and will take MUCH longer to navigate with someone with mobility challenges.
TIP: Make sure you know where you dropped them and don’t forget it.

elderly airport security tips

Security Tips to make it easier for the elderly at the airport

2. Get A Pass — Airport security normally doesn’t allow anyone but departing passengers with a flight boarding pass to go to the gate. There are exceptions, if a passenger needs extra help (like caring oxygen equipment, etc.) you can often go along. Remember, the departure gate person must type up and print this pass, and it will take extra time.  Bring your ID and passport if you have one to make it easier on them.
TIP: Request a gate pass right as you check-in; it will save time later.

3. Hitch A Ride — My dad can stand and walk, but even with a rollator it quickly gets painful.  Getting from the airline’s check-in desk to the security checkpoint would be to much for him.  It is easier on him and everyone around him if he can do it in a wheelchair. TIP: Request a wheelchair or cart ride in advance (even online), and again when you get to the check-in counter.

4. Don’t Stop Asking — Getting a ride isn’t a right.  Some airlines let you request a wheelchair when you purchase the tickets, and this typically should alert the agent when you check in.  Remember that you aren’t the only person that needs limited equipment.  They might not have any available wheelchairs when you get there.  Plan for this and give yourself ample time.
TIP: Be patient and if you have waited 8-10 minutes without help, ask again politely.

4. Pay extra care with your wheelchair — We know that security lines are not consistent widths and can weave around everywhere. Be prepared to annoy people behind you when adjusting the gates to accommodate the wheelchair. Security Officers will inspect your wheelchair or scooter.  These inspections will be conducted while you remain in your wheelchair or on your scooter if you indicate that you cannot get out of your wheelchair or off your scooter.
TIP: Let the security officer know in advance what you can or can’t do, and if you want a private screening or not.

5. Remove NON-required metal pieces — If you have a metal rod in your spine… DON’T take it out.  But go ahead and wear pants with elastic that STAY on when you remove your belt.  Get rid of all that change in your pocket in advance and remove those pens and cellphone.  Wear sandals if you can too, makes things much easier.
TIP: As soon as you checkin go ahead and remove all metal and place it in your small carry on bag that can go through the x-ray.  You can survive 20-30 minutes without that change or belt on.

6. Talk To TSA — They want their job to be easy and you to get through as fast as possible.  Help them by TELLING them IN ADVANCE of any special requirements, implants, needs, you may have.
TIP: If a rollator or cane gets separated from the person who needs it, ask a TSA agent to deliver it.

7. Hidden Metal Challenges — When the metal detector beeps on metal that’s not obvious, TSA is required to inspect further.  TSA believes in no exception, no doctor’s letter, or sweet talk will avoid this.
TIP: Request a secondary screening in advance if you know you’re not going to slip my the metal detector without beeping.

8. Cooperate Courteously — The TSA agents don’t enjoy giving a deep pat down to anybody.  Especially someone in their 80’s.  Remember they are just doing their job and want to finish in a timely manner but they are going to be thorough.
TIP: Be helpful, but not demanding or discourteous. Remember your goal is to breeze through the process, not lose an argument or miss a flight.

10. Time to get to the gate — Once the agent clears you, request for a ride to your gate.  Most airports have personnel driving around constantly to give rides to passengers with mobility needs.
TIP: If the traveler faces mobility and/or security challenges, get to the airport very early — 1 hour earlier than required is a safe bet.

Any other tips that we missed here?  Let us know!!

This blog entry was provided by Jason Monroe.  Thanks to JRS Medical for taking care of the senior community through its solid value medical supplies.

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TSA looking to reduce screening procedures at airports for seniors

After the TSA received serious negative publicity at the end of last year they have finally announced some positive changed for seniors flying.  Seniors definitely deserve more respect at these airport security checkpoints than they have received before.

The changes follow a controversy in November, when two women in their 80s complained that they were essentially strip-searched at New York’s John F. Kennedy airport.  One had to remove a back brace to undergo an X-ray scan and the other lowered her sweat pants, so security officials could examine her colostomy bag.  As you know, anyone with ostomy supplies has an uncomfortable screening process at airports regardless of their age already.

Security Screening by the TSA on seniors getting easier

Security Screening by the TSA on seniors getting easier

TSA officials have denied asking anyone to remove their clothes.  Betsy Markey, an assistant secretary at the TSA, apologized in a January letter that said security officers would receive refresher training on how to respectfully screen passengers with disabilities or medical conditions.

“TSA sincerely regrets any discomfort or inconveniences the passengers at JFK experienced,” she wrote.  The TSA also made a public statement, “we don’t get it right every time” while screening about 1.8 million people a day.  The agency created a hotline in December called TSA Cares for the elderly or people with medical conditions to help plan for screening “while respecting their privacy.”

Do you think the TSA has done enough to cover up their mistake and should more be done?  Our next post will give you 10 tips on making flying easier for seniors with medical conditions.

This blog was provided by Jason Monroe.  Thanks to JRS Medical for continuing to provide top level customer service to its seniors.

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Advanced Healthcare Directives For Seniors

Advanced Healthcare Directives For Seniors

If something unexpected happens, you will want to know your wishes will be carried out if you are unable to express those wishes. The best way to make sure your desires are carried out is to write them down.

Although a survey by the Pew Research Center shows that the majority of people agree they have a right to decide what kind of medical treatment they receive, only 27 percent put their wishes in writing.

Living Will

A legal document used to tell family and medical professionals what life-sustaining procedures – if any – you would like to be used on you. It can also describe whether you’d like healthcare workers to take measures to prolong your life.  A living will is used when you are unable to otherwise communicate your wishes in regard to life-saving medical treatment.  This advanced directive addresses the kind and extent of medical treatment you want if you become incapacitated and are unable to speak for yourself.  It can include instructions on resuscitation measures, life-sustaining equipment such as a ventilator and whether you will receive a blood transfusion.

Power of attorney
A legal document that enables you to designate someone (known as your attorney-in-fact) to make certain legal, financial and healthcare-related decisions on your behalf.  This document appoints someone to make health care decisions for you if you are incapable of making your wishes known. This agent can make decisions such as if or when to remove feeding tubes or other medical equipment. The benefit of a health care POA is that he or she can make decisions in situations that may not be covered in other advanced directives.

Having this information written down can alleviate confusion among family members. If you already have a living will, durable power of attorney and other legal documents, it is a good idea to have them reviewed to make sure they are still valid. Sometimes laws change, and documents that are several years old may not include all of the current legal requirements. With the growth in an aging population, longer life spans and advances in medical technology, having advance directives is more important than ever before.

For more information visit: http://www.seniorlivingrockies.com/legal.htm

Thank you to Andrea Rosen andrearosen@ezlaw.com and EZLaw for contributions to this blog.

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