Only 1% of United States homes are capable of being designed that enables age in place. 75% of older American wants to keep in their own home as long as possible. You can follow several guidelines to simplify this process. Our guide will make sure you find the home that best accommodates your needs for the next couple of decades. Fo Aging in Place and Thriving in Place are two terms that define the same concept: people who age by staying in their own homes. The difference is the perspective. Aging in place means old age, while thriving in place means independence and wellness for everyone. In this article, we will discuss both perspectives on aging in place and see how they differ from one another on the idea of thriving at home. The aging process is a natural part of our lives. It can be a difficult and challenging journey for a lot of people. But with the help of modern technology, it has been made much easier for seniors to have a better quality of life in their golden years. This paper examines the trend of an increasing number of older adults who are aging in place. It looks at the benefits and costs to society, as well as the implications for the social contract. The rise in this trend is due to many factors including, better health care, more services available for elders, less stigma attached to aging in place, and changing attitudes about aging. Recent trends in the aging population and neuroscience research show that staying in one’s own home is the best way to age. The idea of “aging in place” is becoming a popular trend as it allows seniors to have independence, control, and peace of mind. There are several ways to how to buy hospital beds at home help people age in place. For example, there are programs that provide financial assistance for seniors who want to stay at their homes but need home modifications or caregiver support. There are also organizations that provide transportation services so seniors can go out and have fun without having to drive themselves or rely on family members for rides. A Universal Design approach is an inclusive and accommodating design that can be used to meet the range of individual needs. Designing your home or business with Universal Design principles in mind is about more than making it accessible for those with disabilities. It's also about ensuring that those with physical challenges, as well as those without, are able to enjoy the same kind of experience. Universal Design stands for designing products and environments to be accessible to the widest possible audience. Doing so ensures that products are useable by all people, regardless of their age or abilities. Some people are still not convinced of the usefulness of these technologies in their homes. They are usually concerned about the cost of installation and maintenance, the security implications, or how they will use their time when they no longer need to do household chores. Aside from these concerns, there are also some people who are simply not interested in living an automated lifestyle. Obviously, this group of people is shrinking every day. As the benefits of smart home technology become more prominent in society, it will be adopted by everyone sooner or later. As the population ages and the population continues to grow, there is a demand for accessible homes and home remodeling projects. Accessible homes are homes that allow people of all abilities to be able to use them. Home remodeling projects should keep in mind features such as low-hanging shelving, wide doors, and walk-in showers with grab bars. Home remodeling will also need to consider features such as wheelchair ramps and adaptations such as wider doorways or lower countertops for taller individuals.
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Research has shown that depression can have a significant effect on an individual's ability to perform Activities of Daily Living. Depression is a common occurrence in the elderly population, which can greatly impair their functioning and ability to perform many of the Activities of Daily Living. Depression also increases the risk of falls among the elderly population, which is a major cause of increased mortality rates among adults over 65 years old. Activities of Daily Living are the activities that a person is required to do on a daily basis to live independently. It is important to note that these tasks can vary from person to person. Some of the most common Activities of Daily Living include: -Walking -Transportation -Incontinence care and bowel management. There are a few things that you should keep in mind when it comes to Activities of Daily Living: some tasks may require some help from other people, others may be impossible for certain individuals, and some techniques may need to be used for different individuals depending on their needs. Activities of Daily Living are the basic tasks that are done on a daily basis without assistance. These include bathing dressing eating using the toilet, and others. These tasks are often referred to as ADLs. Physical limitations may affect one's ability to perform these activities of daily living. Aging is https://www.sondercare.com one factor that can contribute to physical limitations, among other things such as illness or injury. One's health condition may also prevent them from performing certain activities of daily living without assistance, so their ability to perform these activities depends on their current health condition. The ADLs are activities of daily living. They are the skills or tasks that typically need to be performed every day in order to live independently. These are the skills that enable people to do things like bathing, cooking, dressing, eating, toileting, and continence care. Age is one of the most influential factors affecting ADLs. As people age their health conditions often worsen. This includes increasing difficulties with mobility and strength which can make performing ADLs more challenging. Elderly individuals also have a much higher rate of chronic illness which can lead to immobility or cognitive decline that will affect their ability to perform ADLs as well as other basic day-to-day tasks. To find financial assistance for aging-in-place improvements, you will need to consult with your local government or nonprofit agencies to see if they offer any grants or interest rate discounts. Your bank may also offer some options, but be sure to do your research first. Here are some of the most common ways that people find financial assistance for aging-in-place improvements: Consult your local government or nonprofit agencies - You can contact a nearby public health department about the availability of grants and tax credits that can help offset costs. You can also look into a variety of tax deductions that may be available for improving accessibility in your home, such as the wheelchair ramp tax deduction. Nonprofit organizations such as Habitat for Humanity and AARP Foundation offer interest rate discounts as well as other assistance. As people grow older, they may need to make adaptations to their home in order to age-in-place. There are a few different ways that people can find financial assistance for these types of improvements. A family member, friend or neighbor may be willing to lend a hand and help with the renovations. There are also organizations that will donate the materials needed for the project in return for labor on behalf of the how to buy hospital bed in home person making the improvements. There are also government-sponsored programs that offer financial assistance in order to ensure that older adults can stay in their homes as they age. This type of program is often called an "Aging-In-Place" program and it will usually provide funding for minor changes like grab bars or ramps, but not major structural renovations like wheelchair access or widening doorways. It is possible to download application forms from each state’s Medicaid agency. In fact, it would be a good idea for many seniors and family caregivers to go ahead and get a copy of these forms, if only to see what kind of information the agency requires to process an application. But a serious question remains: Should you plan and apply for Medicaid by yourself or seek professional assistance? The truth is that Medicaid planning is not a do-it-yourself project, and applying for Medicaid long-term care is seldom, if ever, easy. Most people understand the questions on a Medicaid application and how to answer them. However, applicants may not understand the impact of these questions or what the state is really trying to find out by asking them. Benefits of Hiring an Elder Law Attorney for Medicaid Application Elder law attorneys specialize in helping older adults with long-term care planning, estate planning and government benefits. Those with experience in Medicaid planning understand each state’s rules and regulations and help families by identifying comprehensive strategies to legally obtain and maintain eligibility for public benefits. Avoiding Medicaid Penalties Medicaid planning is very complex, and most people are not familiar with the various exceptions and exemptions to the gifting rules. For example, most Medicaid applications will ask if an applicant has made any gifts or other asset transfers for less than fair market value within the last 60 months (or 30 months in California). The purpose of this question is to find out whether the applicant is subject to a Medicaid penalty for having made any disqualifying transfers. If they did, the penalty would prevent the applicant from receiving Medicaid benefits for a certain number of months. This is calculated by dividing the total value of the transferred assets by the average nursing home cost in the applicant’s state more info (these numbers are updated and published each year). In some cases, there are exceptions that can help applicants avoid a Medicaid penalty period. In other situations, applicants who have made disqualifying transfers during the look-back period may be better off delaying their Medicaid application. Most people aren’t familiar enough with the ins and outs of Medicaid eligibility rules to successfully avoid these pitfalls on their initial or even subsequent attempts to qualify. For seniors who anticipate needing to apply for long-term care Medicaid within the next few years, devising a foolproof Medicaid planning strategy is the best way to ensure an application is approved. Timing is a very important part of the planning process. A Medicaid lawyer will take all aspects of a senior’s personal and financial situation into consideration to determine when they should apply and whether additional steps must be taken to avoid disqualification for benefits. Protecting the Community Spouse The financial Medicaid eligibility rules for married couples are different from those for unmarried applicants. An elder law attorney can devise a plan for a married couple to spend down their assets to qualify for long-term care Medicaid but still retain enough resources for the healthy spouse to remain in their home and cover their costs of living. Navigating the Medicaid Spend-Down Process It may also be possible for an applicant to reorganize their assets and income in ways that help them continue living in the community for as long as possible but also ensure they will qualify for long-term care Medicaid when they need it. Applicants can retain ownership of certain types and amounts of assets while still maintaining their eligibility for benefits. In some instances, a personal care agreement is a great way for a senior to compensate their family caregiver(s) while legally spending down to meet Medicaid asset and income limits. The ways in which bank accounts and even real estate are titled can help or hurt an applicant’s Medicaid eligibility as well. Attorneys are well-versed in these and many other legal, medical and financial factors that determine if and when a senior’s application is approved. Read: How Joint Bank Accounts Affect Medicaid Eligibility Deciding When to Apply for Medicaid Finally, applying too early or too late can cost a senior and their family many thousands of dollars. It’s best to begin thinking about the application process at least five years before a senior anticipates needing long-term care. This will allow for asset preservation prior to the look-back period. Of course, an elder’s health and care needs can change a great deal in that timeframe, especially if they have a chronic medical condition like dementia or Parkinson’s disease. It may be wise for some families to look into Medicaid planning even earlier to ensure they’re prepared when the need for long-term care arises. Applying too early may result in a penalty and a longer period of ineligibility than normal. Sometimes waiting until an applicant is sure they’re eligible is the best (and most affordable) course of action. On the other hand, filing an application too late means that an elder and their family would miss out on months of long-term care Medicaid coverage while awaiting a determination. Finding the right time to apply can be very tricky and is different for each person. Failing to time things correctly can be a costly mistake. Understanding Activities of Daily Living (ADLs) Sidney Katz, MD, first formulated an index of basic activities that are necessary for a senior to live independently in 1963. The Katz Index of Activities of Daily Living is still used by healthcare professionals to assess functional abilities and evaluate long-term care needs in older adults. The use of indexes to measure daily functioning is important in the overall assessment of a senior's wellbeing because appropriate levels of assistance with ADLs can improve an elder’s independence, health outcomes and quality of life. An official assessment of the ability to complete the six activities of daily living (ADLs) contributes to the determination of a senior’s eligibility for both supportive services and financial assistance such as Medicaid long-term care, VA benefits, and the payment of long-term care insurance claims. What Are the Six Activities of Daily Living (ADLs)? Activities of daily living fall into six categories of basic skills needed to properly care for oneself. Due to varying levels of physical and/or cognitive decline, a senior may be able to complete ADLs safely and independently in some categories but not have https://www.sondercare.com the skills necessary to complete others. Levels of assistance also vary; seniors may need help ranging from prompting or supervision to total support in order to ensure these basic physical needs are met. When evaluating daily functioning, evaluators will assess these 6 basic areas of functioning: Eating Is the individual able to move food and drink successfully from the table to their mouth? Bathing and Personal Hygiene Is the individual able to get in and out of the shower or bath without assistance? Are they able to wash their face, body and hair? Are they able to groom themselves, maintain oral hygiene and care for their nails? Dressing Is the individual able to choose appropriate clothing? Are they able to put on and take off these items, including fastening and unfastening them properly. Continence Can the individual maintain control over their bladder and bowel function? Toileting Is the individual able to transfer on and off the toilet, clean themselves, and resecure their clothing? Walking and Transferring Is the individual able to walk independently? Are they able to move to and from a chair and bed without the assistance of another person? Note that the use of assistive devices or mobility aids such as canes or walkers is an acceptable source of support in walking and transferring independently. Creating a Care Plan based on ADLs The amount of assistance a senior requires to complete each of these ADLs is used to determine the level of care they require and create a personalized plan for support, called a care plan. For this reason, most state and federal assistance programs, home care companies, adult day care programs and senior housing facilities require an ADL assessment as the starting point for establishing a person’s suitability or eligibility for services and/or coverage. When navigating elder care options, benefits and supportive services, ADL assistance can be referred to as personal, companion or custodial care. This non-medical or “unskilled” care is commonly provided by family caregivers, personal companions and home health aides in a senior’s own home, in many adult day care settings, and in assisted living communities. Of course, assistance with ADLs is also provided in long-term care settings that offer higher levels of skilled care, such as memory care units and nursing homes. If you are noticing a change in functional abilities that is impacting your loved one’s ability to live independently, use our ADL Worksheet as a tool to determine how much assistance they require. Printable: ADL Assessment Checklist A professional assessment is often the gateway to eligibility for additional services. Functional assessments that identify ADL difficulties can be made by physicians, nurses, case managers, and occupational therapists. Furthermore, long-term care insurance companies typically employ assessors to make eligibility determinations for policyholders who wish to begin using their long-term care benefits. One of the best resources for beginning the formal assessment and care planning process is your local Area Agency on Aging. AAAs can let you know where to have a needs assessment performed and, in some cases, may actually be able to conduct assessments themselves. For more information regarding the importance of this measure and the role of activities of daily living (ADLs) in planning for a senior's long term care, explore our articles, assessments and Q&A from other caregivers in the Caregiver Forum. 'Aging in Place' program for seniors receives federal grant LACKAWANNA COUNTY, Pa. — A program that aims to help seniors in Lackawanna County stay in their homes has received a boost from the federal government. Organizers said it will allow them to expand into Wayne County as well. The program, called "Aging in Place," was created a few years ago by Neighborworks of NEPA. Occupational therapists and contractors work together to make homes safer for seniors, hopefully allowing them to stay in their homes as opposed to moving to assisted living or a nursing home. Paul and Mary Ann Bauman spent the majority of their married life in a home in Scranton's west side. When Paul's life was coming to an end earlier this year, there was nowhere else he wanted to be. Mary Ann called Lackawanna County's Area Agency on Aging, which connected her with Neighborworks. Then a crew with the Aging in Place program came and installed a stair glider, grab bars, and a ramp. All things Paul needed to stay home. "The idea originally was for him to be able to stay here, and he was here until the last day of his life," Mary Ann said. There are a lot of stories like Mary Ann's in Lackawanna County. Neighborworks has been struggling to keep up with the demand of its Aging in Place program. But, officials have just announced sondercare.com/service-area/ they've received $1 million in federal funding to help expand the program. "That funding is going to help us to, not only double down on our investment to help seniors here in Lackawanna County, but it is also going to help us expand our services into Wayne County, which we're really really excited about," Neighborworks of NEPA's president & CEO Jesse Ergott said. The program's administrator, Mary Endrusick, said its biggest problem actually helped them secure the federal grant, Aging in Place has 150 people on a waiting list. "With the million dollars, and I just get giddy whenever I get to say that, we'll be able to clean up that list in Lackawanna County, we'll be able to bring on more contractors, more occupational therapists," Endrusick said. Mary Ann Bauman said the changes made for her husband Paul are now making all the difference for her. "And I think with all the work that they did, I will now be able to stay here too, and that was the ultimate goal," she said. Neighborworks thinks the new grant will help them make improvements in more than 200 homes in Lackawanna and Wayne Counties. 3 Types of Adult Day Care If your loved one lives with you, but you need help that will allow you to go to work and engage in other activities, then adult day care might be the solution for you. Adult day care centers are designed for older individuals who need help with activities of daily living or who are isolated and lonely. At the centers, seniors are able to socialize with others while receiving assistance and supervision. It’s especially beneficial for those who can no longer structure their own daily activities, desire social interaction or can’t be safely left alone at home. At the same time, the centers give caregivers a break from around-the-clock care and provide peace of mind that their loved one is in good hands. There are varying levels of adult day care that cater to seniors’ specific needs. Three Adult Day Care Options Social Day Care These facilities focus on enriching seniors’ lives through an engaging social community and activities that build upon each individual’s skills, knowledge and unique abilities. Daily activities usually include: Creative expression through arts and crafts Musical entertainment and group sing-a-longs Mental stimulation games like bingo Stretching and gentle exercise like chair yoga Discussion groups about books, films or current events Holiday and birthday celebrations Local outings Nutritious meals and snacks Besides recreational activities, some programs provide transportation to and from the center, social services like counseling and support groups for caregivers, and health support services such as blood pressure monitoring and vision screening. Adult Day Health Care These facilities typically use the term Adult Day Health Care (ADHC) because they provide medical services and physical, occupational, and speech therapy to seniors. They are usually staffed with an RN and other health professionals. It is common practice for the program to require a health assessment by a physician prior to admission. ADH centers provide frail adults experiencing physical, mental or social problems associated with stroke, isolation, confusion or other conditions with the opportunity to meet new people, participate in activities and enjoy https://www.washingtonpost.com/newssearch/?query=hospital beds daily life in a comfortable, supervised setting. Joint Medicare and Medicaid participants may be eligible to receive ADHC from a local Program of All-Inclusive Care for the Elderly (PACE). These programs serve individuals who are 55 or older, certified by their state as needing nursing home level care, able to live safely in the community at the time of enrollment and living in a PACE service area. While all PACE participants must be certified to need nursing home care to enroll, 93 percent live in the community and get their daily care at a PACE adult day health care center. Delivering all needed medical and supportive services, a PACE program provides the entire continuum of care and services to seniors with chronic care needs while maintaining their independence in their homes for as long as possible. Alzheimer’s and Dementia Day Care These programs provide social and health services specifically for seniors with cognitive challenges. In this setting, activities appropriate for the participants’ functional abilities are provided in a secure environment to prevent wandering, and the staff has specialized training in dementia care. How to Select a Care Center First, start by considering the needs of your loved one. Are social activities important to them? Do they need assistance with walking, eating or taking medications? Is mental stimulation a priority? What are their exercise needs? It is important to consider your own needs as well. Are you looking for general support? Some free time? Help with transportation? These questions will help you determine which of the three main types of adult day care centers (social, how to buy medical bed health-focused or specialized Alzheimer’s/dementia care) will be the best fit. One in four seniors suffer a fall each year and nearly half of people age 65 or older sustaining a fall do not resume independent living. Connecticut's homecare experts at Assisted Living Services, Inc. (ALS) have seen firsthand the threats to personal safety that the elderly encounter on a daily basis in their own homes. During National Falls Prevention Month in September, ALS is sharing ways to create a safe environment and utilize new smart home and personal technology. "The unfortunate reality is that some of our clients are hospitalized after a moderate to severe injury and are unable to return home," said Mario D'Aquila, MBA, COO of Assisted Living Services, Inc. in Cheshire, Fairfield and Clinton. "We work with families to prevent these accidents in the first place by providing a complimentary home safety assessment at any residence in Connecticut. D'Aquila explains an experienced senior home care specialist uses a Quality Assurance Checklist to evaluate the living situation and identify areas of weakness, then makes recommendations such as reducing clutter and installing hand rails, to effectively lower the risk of falls. Specific technological devices from sister company Assisted Living Technologies, Inc. https://www.sondercare.com/service-area/ (ALT) may also be recommended after completion of the evaluation. D'Aquila addresses the top causes of falls and how to prevent them: Slips and trips can be prevented by wearing proper footwear, wiping up spills and cleaning excess messes, removing cords and hazards like scatter rugs, providing adequate lighting at nighttime and using bathroom safety devices properly. Physical inactivity can actually lead to more falls! Participate in exercise or activities that improve balance. Medications may have side-effects that can lead to falls such as blood pressure, sedatives, diuretics, anti-depressants, and pain medications, need to be discussed with a doctor, who may be able to make adjustments or provide advice to reduce symptoms contributing to a fall. Poor vision can be prevented by getting an eye exam, potential cataract surgery, and avoiding the use of multifocal glasses when ambulating. Improper use of assistive equipment such as canes, walkers, wheelchairs and others. Make sure the person is trained to properly and safely use equipment by their doctor or medical equipment specialist. "I don't get much in Canadian pension. And the cost of everything has gone up so much," said Dixon, who would like to see an increase to the old-age program. "I get Folger's large containers of coffee, right? They are usually $6.97. I went to Sobeys the other day and they were $14. The cost has gone up so much you can't afford to eat." Dixon also worries about health care for seniors, especially when it comes to home care and long-term care facility wait times. "I know people in here who should be in the hospital. https://www.sondercare.com/service-area/ They should be in a long-term care facility but they're not. They've been on waiting lists for five, six years but they're still in here," said Dixon. "And homecare has gone down too because they don't have anyone to work. People are missing visits from homecare because there's no one to work." Anne Rogal is a senior living in Richmond County who has been helping Fair Vote Canada do outreach by handing information out in her community. Fair Vote is an organization pushing for proportional representation in government. "I think that the system is broken. I have been handing out stuff for Fair Vote Canada in the hopes that people will ask candidates about electoral reform and get all parties on side with that issue," she said. "But I might as well be invisible as far as candidates. Have not seen a one and if it weren’t for the odd bit of junk mail and a sign here and there, I would barely know that an election was on. I am unfortunately inclined to agree with everyone who is saying that this election was unnecessary." According to the CDC, “Aging in place is the ability to live in one’s own home and community safely, independently and comfortably, regardless of age, income, or ability level.” As a registered and licensed occupational therapist (OTR/L) and Certified Aging in Place Specialist (CAPS), the concept of aging in place is a very familiar one. Even after a significant health change or reduction in mobility, the majority of my clients want to stay in their current homes and age in place. Although every person is different, and of course each situation is unique to the individual, there are some universal sensory considerations when aging in place. With limited mobility or a significant health change, seniors often struggle with repetitive self-care tasks such as bathing/grooming, dressing and toileting, which can be very challenging for them. In addition, these tasks may lead to a decline in their mobility and ability to self-care. Together, these changes can make it very difficult for seniors to continue living independently at home. On the other hand, sensory considerations are often not considered when planning for aging in place. The most common sensory considerations I’ve found with my clients is the tactile defensiveness, which can often lead to a very uncomfortable home environment. Other sensory considerations might include visual or auditory overstimulation from certain lights and sounds (pets, exterior noises), which may make it difficult for seniors to sleep at night or get into their activities during the day. As an OT1 with a background in geriatrics and working with seniors, I’ve seen many common sensory challenges that can easily (and inexpensively) be corrected/improved in the home. There are a few key areas to target when making plans for aging in place: The number one sensory consideration when continuing to age in place is protecting hearing. As people age, they are at a higher risk for developing hearing loss, which puts them at even greater risk for falls and other accidents. Not only is this risk to one’s life -- it’s also a significant strain on the family members who must take care of their loved ones. I recommend you go through your home |
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