Caregiver Stress: Tackling Tough Decisions In the Age of COVID
Caring for and making decisions for an aging and sick parent is never easy. But as the coronavirus continues to complicate matters for older adults, it can be even more challenging to know how and when to step in. However, sometimes choices must be made, and when that time comes, it pays to be prepared. Senior Care Central explains what you need to consider.
How Does the Virus Affect Seniors?
Scientists and doctors have made inroads in pandemic research, and all are resolute in reporting that older adults are in the highest risk category. As Johns Hopkins explains, those over age 60 with pre-existing conditions, such as lung disease and diabetes, are at the greatest risk. For these reasons, if you are caring for a senior with a health condition, the decisions you make now are that much more important to their overall health and well-being.
Getting It Together
Even if you’ve already discussed your senior loved one’s wants and wishes, you may not be legally able to make decisions if they take a turn for the worse unless you have legal documents in place. Elder Protection Center lists the most pertinent of these as a medical directive, power of attorney for health care, power of attorney for finances, revocable trust, and a will.
Each of these documents allows you to give direction in different areas. For example, the healthcare power of attorney lets you quickly make decisions about things like medical treatment in case your loved one is incapacitated. Becoming appointed as the executor of a will gives you the power to carry out their final wishes as far as their estate and belongings go. Making arrangements while your loved one is able ensures their wishes are met.
Hospice Care
As your loved one declines, it may be necessary to arrange for hospice care. If your loved one’s illness worsens and they cannot take care of themselves and they need assistance maintaining a medical condition or hands-on care when it comes to bathing, dressing, and eating, it’s likely time for hospice care to take over. You might even be attempting this care yourself, but find yourself in a burnout situation, in which case a professional is the best choice for you both.
Financing the Future
If your loved ones’ needs outweigh their ability to continue in their current living situation, it might be necessary to sell their home to cover expenses. Keep in mind, however, that the real estate market has changed in response to COVID-19.
First, find out what you can earn from the sale of the home by running some calculations online. It’s also a good idea to learn about your local market to help with your decisions. You can get a better idea of what their home might sell for by doing some research on market trends in the area. If their property value has dropped dramatically, it may be wise to wait and use other means to pay for expenses until the market perks back up.
For instance, you could rent out the property to generate income to cover your loved one’s living expenses. Just bear in mind that by turning the home into a rental, you or your loved one will be responsible for tenant vetting, maintenance and upkeep. You’ll also need to gauge the cost of local rentals. Denver apartment rentals right now are averaging $1,874 for a one-bedroom. If this seems like an ideal scenario, you can also work with a property manager to handle rental operations for a small percentage.
Key Takeaways
- The coronavirus affects senior citizens, and that can make it more difficult for caregivers to make decisions about their well-being.
- Without having legal documents in place, any decisions you do make may not be carried out.
- Real estate prices may affect your loved one’s ability to pay for care, and research may be needed when facing a home sale.
Again, it’s not easy to make decisions for a loved one, particularly one who has a life-limiting illness and may not be able to offer input. But as a caretaker, making decisions is something that you have to do. As the world continues to remain uncertain, having a plan in place now can save you and your entire family from indecision and heartache during what is surely one of the most stressful times of your life.
Engaging the Faith-Based Nurse: Exploring Nursing as Ministry.
Listen to the webinar from authors Kristen Mauk and Mary Hobus, Engaging the Faith-Based Nurse: Exploring Nursing as Ministry.
Nursing as Ministry provides the foundations of Christian nursing as ministry, taking an interprofessional perspective with 29 contributors from backgrounds in theology, nursing, medicine, social work, and pastoral ministry. Designed to be a student-friendly textbook for faith-based schools, this first edition text focuses on the spiritual aspects of patient care, providing practical information ministering to specific populations. The reader is guided through topics such as homelessness, substance abuse, community health, vulnerable elders, prison ministry, culturally sensitive care, and more. Additionally, the text is designed to guide the reader through their own spiritual journey, with personal reflection questions in each chapter to help students and nurses to internalize the content.
With a need for a contemporary, evidence-based text on nursing ministry, this first edition offers an abundance of resources including critical reasoning exercises, interviews with nurse leaders, case studies, suggestions for faith integration in daily nursing care, and more.
Features and Benefits:
Video interviews with Christian nursing leaders
Scripture integrated throughout the chapters
Personal stories of nurse leaders woven throughout the text
Navigate 2 Advantage Access
Each new print copy includes Navigate 2 Advantage Access, unlocking a comprehensive and interactive eBook, student practice activities and assessments, a full suite of instructor resources, and learning analytics reporting tools.
Guest Blog: Why Professional Teeth Cleaning Is A Must For Dental Health
Contrary to popular belief, professional teeth cleaning can do more than give you an alluring smile. If truth be told, teeth cleaning is an integral part of primary dental care. Inadequate oral hygiene has been associated with several oral and health issues, including bone loss, strokes, and cardiovascular diseases.
While regular brushing and flossing are essential, they won’t always suffice. To ensure your teeth are thoroughly clean and healthy, teeth cleaning is considered a must. Not convinced? Below are some notable reasons why teeth cleaning is a must for dental health:
1. It helps remove stains that discolor and dull your teeth, so you’ll have a whiter and brighter smile.
2. Regular teeth cleaning can help prevent gum disease, which can lead to early tooth loss.
3. During teeth cleanings, it’s easier for dentists to detect problems like fractures and broken fillings.
4. Many studies have proven a strong link between gum disease and cardiovascular disease. Since getting your teeth cleaned on a routine basis can help prevent gum disease, you also significantly reduce your chances of developing deadly strokes and heart attacks.
5. Every hour, one person dies from oral cancer, and this is in the United States alone. The good thing is many of these cancers are curable if detected early. Dentists can often spot red flags during routine teeth cleanings.
6. Regular teeth cleaning can help you save money in the long run as you can avoid dental issues that might cost you a fortune to fix.
7. Routine teeth cleaning can also allow your dentist to compare your oral health’s current state compared to your last visit. If your dentist spots any issues, it can be corrected right away before causing other oral and health complications.
8. One of the foolproof ways to avoid bad breath is by keeping your teeth clean. Going beyond your essential oral practice of brushing and flossing will not only help ensure you’ll have a healthier mouth, but also a fresher breath.
9. Regular teeth cleaning can also help prevent the buildup of cavities that often lead to tooth decay.
The importance of regular teeth cleaning cannot be overstated. While it will require effort and a little investment, the benefits are truly worth it. You will not only save money in the long run, but you’ll also keep oral and other health issues at bay!
About the Author
Dr. Megan Peterson Boyle is the lead cosmetic dentist with Dental Studio 101 in Scottsdale, Arizona. She is focused on providing anxiety-free cosmetic dentistry services including invisalign, dental implants, dental crowns and cosmetic fillings. She enjoys spending time outdoors with her friends and family.
Assisted Living: 7 Answers to Common Questions
What is assisted living (AL)?
A Scandinavian model for senior care, now known as assisted living, made its way into America’s care system in the 1980’s. According to a 2012 report by AARP, there is no standard definition for assisted living (AL). Although individual states and residential facilities can give their own definition of AL, the term most often means that help is provided with meals, social support, medications, dressing and/or bathing and the like with 24-hour per day supervision. The Assisted Living Federation of America (ALFA) (2013) defines assisted living as “a long-term care option that combines housing, support services and health care, as needed”. The focus of AL is on maintaining dignity, respect, and independence of older residents.
In 2010, there were more than 51,000 licensed residential care settings (including assisted living) that reported more than 1.2 million beds (AARP, 2012). A study published by the National Center for Assisted Living (NCAL) cited 31,100 assisted living facilities serving 733,400 persons in 2010.
What is the typical assisted living resident like?
The average age of those in assisted living facilities is 86.4 years (MetLife, 2012). According to the National Center for Assisted Living (2013), the typical resident needs help with at least one activity of daily living (ADL), and most are over the age of 85. More females (76%) live in assisted living settings than males (26%). Thirty-seven percent of persons in AL receive help with more than three ADLs (NCAL, 2012). More than half of persons in AL facilities have some type of cognitive impairment (Alzheimer’s Association, 2009). A growing percentage of persons in AL facilities have Alzheimer’s disease.
What types of services are provided?
Some of the usual services provided in a licensed AL include:
• Assistance with eating, dressing, bathing, toileting
• Access to health services
• Medication management
• Dining services
• 24 hour staffing and security
• Emergency call systems
• Exercise and wellness facilities
• Social and recreational activities
• Housekeeping and laundry
• Transportation
• Access to banking
• Chaplain or religious services
• Memory care
How do I know if I need assisted living?
There are a variety of reasons why persons might choose an assisted living setting. Some people move to AL because they want more socialization than living alone, they want to be nearer to their adult children but do not reside with them, or because they can no longer manage at home. The person in an assisted living facility generally needs some help with activities of daily living, but does not need skilled nursing care. So, AL might be right for you if you wouldn’t be able live at home any longer without help, but you still don’t need to be in a nursing home or need the help of a nurse around the clock. You may be able to do many things on your own but maybe you have difficulty with dressing, meal preparation, or managing your pills.
How do I decide which senior living community to choose?
There are a variety of senior living options, of which assisted living is but one. Often, family members will help you decide which option is best for you, but you should look at all your choices. You should pick a place that offers the services that you need. Cost and location are additional considerations. It is also good to ask about the staffing ratios, what nursing care is available, and what happens if you later need a higher level of care than the AL provides. ALFA provides a Guide to Choosing an Assisted Living Community. This includes a helpful checklist that can be downloaded from their website.
How much does it cost to live in an AL facility?
The cost of AL depends on where you live. Keep in mind that most assisted living is paid for privately, meaning out-of-pocket, and not by insurance. According to MetLife’s Market Survey of Long-term Care Costs (2012), the national average base rate for assisted living was $3,550 per month. This means that a person who lives in an assisted living facility can expect to pay an average of $42,600 per year. Of course this also varies depending on the number of extent of services with which the resident needs help. The base rate generally includes specific services, but each additional service beyond that may add an extra monthly fee. Compare this to an average nursing home rate for a shared room at nearly $84,000 per year for a person needing Alzheimer’s care (MetLife, 2012) or a national median cost of $270 per day in a nursing home that provides 24-hour per day nursing care (Genworth Cost of Care Survey, 2013).
Are there alternatives to assisted living facilities?
So, are there other options besides going to an assisted living facility if you are an older adult who needs a little help? The answer is yes. Adult day services are one community option. Also, many home care agencies offer companions, homemaker aides, or nursing assistants to help people age in place at home. Most of the time, getting these services means a minimum number of hours per day must be paid for. The national average hourly rate for home health aides was $21 in 2012. Homemaker or companions who provide “hands-off” care such as running errands, shopping, housekeeping made a median of $19-20 the same year (Genworth, 2013).
This is where unique options for assisted living services at home are needed and can save consumers money. Senior Care Central offers persons needing assisted living in the home the opportunity to have more control over their care situation at a much lower cost while getting professional, quality care. Imagine that you could set the hours that you want to have a caregiver in the home, and that caregiver could be a nursing student who has a higher level of education than most home health aides. This care option may cost you half the price charged by a home health care agency. SCC’s model promotes aging in place on your own terms and lets you link with caregivers online, browse profiles to choose caregivers you want to contact, and make your care arrangements directly with them.