Wednesday, June 12, 2013

Stimulation is the key to a long happy and healthy retirement.

By Bob Gregory

I know the title seems to simplify the whole quandary of how to live long and happy but when you choose your retirement home, stimulation is the key!  Retirement means so many things to so many different people that it is really hard to define.  For most, it means the time of life where we choose not to work any longer and enjoy our free time until we leave this world.  In today’s economy, more and more people are delaying the time they choose to retire for financial reasons.  We seem to have a much older retirement population than in the past as concerns of money to support a retirement life style causes most to continue working to their later years.  According to the Gallup Economic and Personal Finance survey, the average U.S. retirement ages is now 61, up from 57 two decades ago.  Further, non-retired Americans now plan to retire at 66 or later. So how does a later retirement date impact retirement years?  It’s simply physiological—everyone’s body and mind changes with age so the longer you wait to retire, the more likely your body and mind will be affected by the aging process!

Here are some very important factors when choosing your retirement home/setting:

TRICYCLE CLUB OF THE CENTURY VILLAGE RETIREMEN...
TRICYCLE CLUB OF THE CENTURY VILLAGE RETIREMENT COMMUNITY MEETS EACH MORNING - NARA - 548572 (Photo credit: Wikipedia)
v  Physical Stimulation: If you are at the age where you pay close attention to commercials on TV or on the web advertising retirement living, then you probably have noticed they no longer depict a couple sitting in a front porch swing watching clouds pass by while sipping coffee.  Retirement living is very different today as we better understand the role of physical activities in living longer and healthier.  Because of this fact, it is very important to choose a community where you will remain physically active.  Physical activity does not necessarily mean you need to have a strict workout regimen at the gym every day or take spinning classes.  Instead, you need to find activities you enjoy and that do not become a “requirement” of your daily life.  For those of you that find a daily workout regimen at the gym or spinning classes enjoyable—I applaud you!  For the rest who of you who do not want to spend your time in the gym, look for a community that provides fun activities you enjoy such as tennis, golf, walking, dancing, horseback riding, biking, swimming and so on.  There are so many choices in retirement communities today and you are sure to find one that accommodates your taste in physical activities.  You can also find retirement communities that are located near your favorite activities if the community itself does not provide the activities you seek.  I also encourage you to participate in physical activities that require socializing to help stimulate your mind!

v  Mental Stimulation:  We all know how important it is to keep our minds sharp and some retirees-to-be wonder how they will transition from the “work world” to retirement where the misconception is they will wander mindlessly around a retirement village.  Retirement communities are filled with fun physical activities as I discussed above and today, more retirement communities are also focusing on the mental stimulation as well.  Many communities offer book clubs, current event discussions, social functions for interacting, community governance commitees, organized speakers and lectors, poetry writing clubs, access to a wide variety of periodicals and journals and more than I can list.  It is also  important that you take responsibility for your own mental wellbeing and find activities that will not  only continue to stimulate your mind and help you grow as a person, but will be enjoyable and  
Book Club
Book Club (Photo credit: Editor B)
      rewarding.  Today, most communities are looking for retired individuals to volunteer to teach reading, writing, mathematics, and computer skills to children and adults.  Communities seek volunteers with the time and skills to help others in the community.  There are quite a few mentoring programs that most communities seek help to staff.  There should be little excuse for you to sit around and do nothing with all those wonderful years of knowledge you have accumulated—share some of it with those who need it!

Staying active in your retirement years will help assure you will have a long and healthy retirement.  Keep in mind that it is not only physical activity but mental activity as well that you need as you live on.  There are many options in retirement living and you will be surprised how the industry has embraced the need to stay physically and mentally active.  Further, make sure that the retirement community you choose is also located near outside activities you enjoy such as plays, concerts, and community services.  Take the time in your research to find retirement communities that offer both types of stimulations that suit you best—you will be happy you did for a lot longer!

If you would like a list Independent Living Facilities, 55+ Communities, Assisted Living Facilities or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com

Enhanced by Zemanta

Thursday, June 6, 2013

Will Home Care help my parent remain in their Independent Living Facility?

By Bob Gregory

It’s natural for an elderly parent to want to remain independent for as long as possible but sometimes they need some help and that creates a dilemma for the entire family.  If your elderly parent is living in their own home or have already transitioned to an Independent Living Facility but require help, don’t immediately think it’s time to make a move to an Assisted Living Facility as there may be another solution to extend your parent’s independence and help them remain in their own home!  Today, many informed seniors are electing Home Care to help them remain in their homes for as long as possible.  There are really two distinct types of Home Care and one may very well fit your parent.

Home Care Companionship/Personal Care.  This type of Home Care is non-medical and is available to help your parent.  This type of service offers both domestic and personal assistance and can be for as little as a few hours a week or 24 hours a day for as long as needed.  There are two main areas of focuses for this service:

Domestic Care Services:
·         Light housekeeping. Chores such as vacuuming, mopping, sweeping, cleaning bathrooms, laundry and most any light work you predefine.
·         Cooking services. Preparing home-cooked meals that meet nutrition standards either daily or preparing several meals for refrigerating.
Cooking!
Cooking! (Photo credit: Webb Zahn)
·         Errands. Give them a list and they will get your errands done for you. This is especially great for those who have trouble driving.  You may also have them drive you to get your shopping completed and help with packages.
·         Companionship.  This is especially important for seniors who find themselves confined to their home and unable to get out socializing.  They will provide conversation, play board games or cards or just simply enjoy a watching television.
·         Organization.  This may include helping get bills paid on time, reminders to take medication, attend important appointments or organize a closet or cabinets to make them more accessible.

Personal Services:
Helping Grandmother Walk
Helping Walk (Photo credit: Rosie O'Beirne)
·         Mobility assistance.  This includes helping with walkers or wheelchair or giving a steady hand to go on a walk.  It may also include moving from bed to chair or repositioning to protect skin and muscles.
·         Personal Hygiene.  This may include bathing, hair washing and trimming nails.  It may also include toileting and dealing with Incontinence.

Do not confuse this type of service with housekeeping or maid services even though they will provide some of these services.  These professionals are usually trained to not only perform tasks for the senior they service, but to also provide a warm and endearing atmosphere to help stimulate and encourage the senior they serve.  Be sure to define all the types of services that are required up front so that there is no misunderstanding or friction between the service provider and the senior.

therapy in the mirror
therapy (Photo credit: gaspi *yg)
Home Health Care.  Home Health Care is very different from the Companionship or Personal Care.  Service is provided by a trained and licensed health care specialist.  They do not perform domestic chores but may offer personal services as part of their service.  This type of service is generally best suited for transition back home after being treated in the hospital.  Typically, after a fall or a life changing event, an elderly patient will be treated in a hospital, and then transferred to a Skilled Nursing Facility for short term rehabilitation (usually less than 90 days).  After a hospital stay and rehab, the patient is used to an environment where sleep is intermittent and physical rehab is intense.  Once all this is complete, the patient is not really used to doing things for themselves or they are in need of additional less intense rehabilitation to get them accustomed to being more independent.  In this situation, Home Health Care is able to be contracted to come into the home and teach the patient to do their own medications, work with the home environment and adapt it properly to meet the changing needs of the patient and/or continue with less intense physical therapy.

Home Care may be a good solution to help extend you or your elderly parent’s independence.  There are many agencies that provide these services.  You may also find individuals who provide these services independently.  Be sure and do a thorough check of the individual or the agency before contracting for services.  You should also ask for references and follow up on and check out the references.  An advantage of using an agency is that they pre-screen all their employees, but check the agency’s references to make sure they are reputable.  Also, some of the services provided may be covered by your insurance (usually the medical services) so be sure and inquire. Finally, make sure you are very detailed in the services you need so that there are no unexpected charges for services that you need but forgot to mention!

If you would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
Enhanced by Zemanta

Monday, June 3, 2013

Should I use the Senior Facility’s Pharmacy or keep my own?



By Bob Gregory

This question arises often as the elderly transition to Senior Facilities.  As we grow older, we tend to see our doctors and pharmacists more frequently than someone younger than 60 years old and thus, we build a very personal relationship with our medical “team”.  Transitioning away from your home is stressful enough, but the thought of changing the medical team you trust can cause great distress.  I have personally had my pharmacist contact my doctor to alert him that two drugs he prescribed for me did not mix!  That’s the kind of people you want on your team and you don’t want to trade players!  You do have a choice, but most Senior Facilities encourage you to use their pharmacy—strongly encourage you to use their pharmacy.  I recently asked an owner of an Assisted Living Facility in Florida why they “strongly” encourage residents to use their pharmacy and I was a little surprised at his answer.  I will repeat his answer here as given to me for your consideration.

Reasons to use the facility pharmacy…

  • Using a facility’s house pharmacy may cost you a few pennies more than running to your local drug store, Publix, Wal-Mart or Costco for prescription drugs or bulk over-the-counter drugs.  However, convenience is a huge factor in running around collecting all the prescriptions from the physicians, filling the prescriptions and delivering them to the facility in a timely manner.  Assisted Living Communities can get in a lot of trouble if the medication is not available for distribution exactly as ordered by the physician.  Timeliness is extremely important.
  • Facility House Pharmacies deliver once or twice daily to the community, depending on the size of community or urgency of the medication.  The pharmacies are on call 24 hours a day and have a very quick turnaround, ensuring the patient gets the medication the same day.
    Medical Drugs for Pharmacy Health Shop of Medicine
    Medical Drugs for Pharmacy Health Shop of Medicine (Photo credit: epSos.de)
  • The medication is packaged to make it easier for the facility techs and nurses to accurately distribute, store and re-order the medications as needed, before they run out to ensure no interruption in dosages given.  This packaging also allows for ease in medication inventory so staff can accurately document and understand changes in a resident’s condition as a result of being given the medication.
  •  The inventory can also aid the facility staff in having the physician re-assess the medications and have PRN (as-needed) medications discontinued if they are not needed after a 30 day period.  This can save the resident and family considerable money on an annual basis. 
  • Most facilities use pharmacies that are geographically local to the communities and work with a myriad of insurance companies including Medicare D programs.
  • Having the volume at the community, the  House Pharmacies are usually good about re-evaluating the residents’ formulary to ensure the resident is paying the least amount possible by making sure most of the prescriptions are covered by their insurance companies and qualify for the lowest possible co-pays.

I also asked the tough question as to whether the pharmacy gave “perks” to the owners for the increased business and I was assured the perks came in the form of better service for their residents and overall lower cost for the residents.  I was pleased to hear that answer as we have all heard of companies “buying” business or serving the good of the owner and not the customer!  As I read back through the notes, I noticed the common theme in his answer was convenience and cost savings.  The convenience was shared by both the resident and the facility while the cost savings were those of the residents.  He also encouraged me to advise readers to ask for a comparison of cost of the drugs you are currently purchasing and compare to the cost using the House Pharmacy.  Be sure to factor in your time to get the drugs, gas or taxi fees and just the hassle of keeping up with reordering. 

As far as your medical team, it is going to grow larger as you will have lots of individuals providing care for you or your elderly parent at the Senior Facility.  Hopefully those relationships will grow and flourish as you enjoy your new home!  I hope this information helps your decision or at least provides another point of view on using the “house pharmacy” at a Senior Facility. 

If you would like a list Independent Living Facilities, Assisted Living Facilities, Nursing Homes or any other type of Senior Facility, I hope you will consider www.seniorfacilityfinder.com
           
If you would like to contribute your thoughts and ideas, please leave them in our comment section. We want to hear them. Helping people care for themselves or their loved ones is what we care about. 

We look forward to reading yours.

Bob Gregory is an advocate for Seniors and is one of the founders of www.seniorfacilityfinder.com. At SeniorFacilityFinder.com, we are dedicated to helping families get the Elder Care help they need without having to provide their personal information! If find you need an assisted living facility or other type of senior facility, please consider www.seniorfacilityfinder.com
Enhanced by Zemanta