Links, Videos, Resources

Caring for Your Aging Parents: Assessing Needs and Resources

GETTING THE CONVERSATION STARTED:

Caring for Your Parents (PBS Guide to read online or download)
http://www.pbs.org/wgbh/caringforyourparents/caregiver/gettingstarted/index.html

Additional PBS Checklists, National Associations
http://www.pbs.org/wgbh/caringforyourparents/community/index.html

Ten Tips for Talking to Your Aging Parents: A Guide for Discussing Options for Retirement Living
https://www.metlife.com/assets/cao/mmi/publications/helpful-hints/mmi-helpful-hint-talking-to-aging-parents.pdf

 

LEGAL CONSIDERATIONS:

National Elder Law Foundation (NELF): Find a Specialized Attorney Near You
www.nelf.org

Getting Your Affairs in Order (A “What and Where” Guide to Important Legal Documents)
https://www.nia.nih.gov/health/publication/getting-your-affairs-order

Legal, Financial and Healthcare Planning Documents: Wills, Living Wills, Durable Power of Attorney for Healthcare and Finances, Living Trusts and More
https://www.nia.nih.gov/alzheimers/publication/legal-and-financial-planning-people-alzheimers-disease-fact-sheet

American Bar Association's (ABA) Overview of Powers of Attorney and Agents
http://www.americanbar.org/groups/real_property_trust_estate/resources/estate_planning/power_of_attorney.html

American Bar Association – several links to their consumer publications about managing other people’s money, advance directives, and much more
http://www.americanbar.org/groups/law_aging/publications.html

 

HOME SAFETY, HEALTH AND WELL-BEING:

Preventing Falls: Tips for Older Adults and Caregivers
https://www.ncoa.org/healthy-aging/falls-prevention/preventing-falls-tips-for-older-adults-and-caregivers/

This CaringHome.org  (tips and tools for home safety for persons with dementia)
http://www.thiscaringhome.org/index.aspx

Signs and Symptoms of Depression in Older Adults
http://www.helpguide.org/articles/depression/depression-in-older-adults-and-the-elderly.htm

Anxiety and Depression Association of America (ADAA): Tips for Family
http://www.adaa.org/living-with-anxiety/older-adults/tips-family

What’s Happened to My Mother? How to Know When Your Family Member Isn’t Caring for Herself and What to Do About It
http://www.aarp.org/home-family/caregiving/info-11-2012/recognizing-abuse-self-neglect.html

It's So Much More Than Moving: Your Guide to Stress-Free Rightsizing and Relocation
https://www.nasmm.org/education/Guide_To_Rightsizing_and_Relocating.pdf

 

DRIVING SAFETY:

Senior Driving: Take an Interactive Quiz and Evaluate Your Driving Ability Online
http://seniordriving.aaa.com/evaluate-your-driving-ability

Best Car Features for Caregivers
http://www.aarp.org/auto/info-2015/cars-for-caregivers.html

 

WOOD COUNTY AREA TRAVEL INFORMATION FOR OLDER PEOPLE:

Medical Transportation Through Wood Co. Committee On Aging
http://www.wccoa.net/svctransp.shtml

 

LEVELS OF CARE:

Twenty Questions and Answers About Long-Distance Caregiving
https://www.nia.nih.gov/health/publication/long-distance-caregiving/introduction

 

HOMECARE

Choosing Home Care and Hospice Services
http://www.ochch.org/aws/OCHCH/pt/sp/CCBC_faq_choosing

Hiring Private Duty Home Care Workers: Why Work Through an Agency?
http://www.caregiver.com/channels/ltc/articles/hiring_private_duty.htm

 

ASSISTED LIVING

About Assisted Living
http://aging.ohio.gov/services/assistedliving/

Information About Adult Care Facilities and Assisted Living Residences: An Informational Resource for Senior Living Options: Assisted Living
http://www.alfa.org/alfa/Assisted_Living_Information.asp

 

SKILLED NURSING FACILITIES

A Checklist to Ask the Right Questions When Choosing a Long-Term Care Facility
http://www.aarp.org/home-family/caregiving/info-05-2012/caregiving-resource-center-asking-right-questions.2.html

Medicare Nursing Home Compare
https://www.medicare.gov/nursinghomecompare/search.html

Centers for Medicare and Medicaid Services: Your Guide to Choosing a Nursing Home
https://www.medicare.gov/Publications/Search/results.asp?PubID=02174&PubLanguage=1&Type=PubID

 

FINANCING LONG-TERM CARE:

Medicare: Type in Your Test, Item or Service and See If It’s Covered
http://www.medicare.gov/coverage/home-health-services.html

Compare Long Term Care Costs Across the United States
https://www.genworth.com/about-us/industry-expertise/cost-of-care.html

BenefitsCheckUp
www.benefitscheckup.org

Paying for Long-Term Care
https://nihseniorhealth.gov/longtermcare/payingforlongtermcare/01.html

 

HOW TO FIND HELP:

Home and Family Caregiving
http://www.aarp.org/home-family/caregiving/

Caregiver Action Network (CAN)
http://caregiveraction.org

Official Social Security Website
http://www.socialsecurity.gov/

LongTermCare.gov
http://longtermcare.gov/

SeniorLiving.org
http://seniorliving.org/

Eldercare Locator
http://eldercare.gov/Eldercare.NET/Public/Index.aspx

 

 

The Importance of Creating Relationships Later in Life

EXPLORE BGSU'S GERONTOLOGY PROGRAM

INFORMATION FROM THE ABILITY CENTER OF GREATER TOLEDO

The Ability Center’s (ACT’s) book “Inclusive Neighborhoods for People With Disabilities”

http://www.abilitycenter.org/wp-content/uploads/2017/04/Inclusive-Neighborhoods-c-2017.pdf

 

ACT’s Reasonable Accommodation and  Zoning Brochure

http://www.abilitycenter.org/we-can-help/programs/systems-advocacy/resources-and-self-advocacy-library/zoning-laws-accommodation/

 

Ohio Developmental Disabilities Council book “Perceived Value Of Visitable Housing In Ohio

http://ddc.ohio.gov/Portals/0/visitability-report-6-15.pdf

 

The Center for Universal Design’s book “Residential Rehabilitation Remodeling and Universal Design”

http://www.abilitycenter.org/wp-content/uploads/2014/06/Residential-Rehabilitation.pdf

 

Ability Center of Greater Toledo website

http://www.abilitycenter.org/

Reverse Mortgages

Booklet from the National Council on Aging (NCOA), “Use Your Home to Stay at Home" 

https://www.ncoa.org/wp-content/uploads/Use-Your-Home-to-Stay-at-Home.pdf

AGING IN PLACE AND AGE-FRIENDLY COMMUNITIES:

Answers to Commonly Asked Questions
What is the most common cause of falls?
  • Environmental hazards
What are some modifications that can decrease the risk of falls?
  • Removing loose rugs and trailing electrical cords
  • Having adequate lighting
  • Non-slip bath mats
  • Stair railings
  • Rails next to the toilet and in the shower
  • Raised toilet seats
What are some modifications to enable aging in place?
  • Kitchen countertops at various levels so you can work standing or sitting
  • Doorways that are 36 inches wide to make it easy to move from room to room
  • Lever door handles and rocker light switches
  • Cabinet door and drawer handles that are C or D shaped
  • Grab bars in the bathroom (can be disguised as towel racks)
  • Built in seat in the shower
  • Staircase wide enough and straight enough to hand a stair lift
What is aging in place?
  • Living in the place where you have lived for years, typically not in a health care environment, using products, services, and conveniences that allow you to remain home as circumstances change. Living safely and independently as you get older.
What elements do I need to achieve aging in place?
  • Meeting your health and physical needs
  • Informal care
  • Money/finances
  • A built environment that accommodates disabilities
  • Community services
What kinds of services might help me with aging in place?
  • Basic homecare: someone to make a meal or clean up
  • Home healthcare: in-home non-medical care to provide help with Activities of Daily Living (known as ADLs)
  • In-home healthcare: Medical management of wounds, medication, specialized medical care
  • Home maintenance: lawn mowing, handyman help, consulting certified aging in place specialists
  • Transportation: securing rides to store, church, doctor’s office, social activities.
  • Home delivered meals: meals-on-wheels
Does Medicare pay for home modifications?
  • No
What parameters are involved in a “livable community”?
  • Improving a community’s built environment
  • Expanding opportunities for all residents
  • Driving community engagement and interaction across diverse community residents
A livable community involves making sure that people of all ages can do what?
  • Go for a walk
  • Cross the street
  • Ride a bike
  • Get around without a car
  • Live safely and comfortably
  • Work or volunteer
  • Enjoy public places
  • Socialize
  • Spend time outdoors
  • Be entertained
  • Go shopping
  • Buy healthy food
  • Find the services they need
  • Make their city, town, or neighborhood and lifelong home

What are the 8 domains of livability?
  • Outdoor spaces and buildings
  • Transportation
  • Housing
  • Social participation
  • Respect and social inclusion
  • Civic participation and employment
  • Communication and information
  • Community and health services
What is the “village movement”?
  • Linking of neighborhoods together to help one another remain in their home as they grow old
How does the “village movement” work?
  • Members pay an annual fee in return for services such as transportation, yard work, and bookkeeping. Village serves as liaison to help individuals find the services that they need.
What is Universal Design?
  • An approach to designing products and environments to be appropriate for all people, including those with physical, cognitive, or sensory impairments
What is “Visitability”?
  • A principle that all new homes should include a few basic features that make them accessible to people regardless of their physical abilities
What does “Visitability” entail?
  • A main level that is easy to enter and exit
  • At least one zero-step entrance.
  • Wide interior doors
  • At least a half bathroom on the main level
Why are Universal Design and “Visitability” so important?
  • More than 90% of adults 50+ prefer to stay in their homes as long as possible (AARP survey) and a great number of homes lack these features.

What are different ways I can downsize my home?
  • Donate items to charities
  • Hire a service to haul away discarded items
  • Sell to thrift shops, or consignment, or online
What are recommended guidelines for physical activity for those age 65 and over?
  • At least 150 minutes of moderate aerobic activity such as cycling or walking every week
  • Strength exercises on two or more days a week that work all the major muscles (legs, hips, back, abdomen, chest, shoulders, and arms)
Why is physical activity important as we age?
  • Staying physically active can enable us to age in place more successfully
  • If muscles are not used, they will become weak; without strength, one is more at risk for falling, which can then start a cascade of negative health events
 What steps should I take in finding the right homecare?
  • Identify what you’re looking for
  • Do your research
  • Request an interview
What questions should I be asking in terms of home care?
  • How much are we willing to pay?
  • What kind of help do we need right now?
  • What do we think we might need in the future?
  • Can we get used to having a stranger in our home?
What assistance is available for help with daily living?
  • Structured day programs
  • In-home support
  • Short-term respite
  • Other community programs

In what ways can home health care prolong independence at home?

  • Home health care professionals can be there when a caregiver can’t be
  • Home care supports activities of daily living
  • Access to skilled nursing care at home
  • Support with diet and nutrition
  • Medication management
  • Companionship from home health care professional
  • Help with light household chores
  • One-on-one focus and support
  • Affordable alternative to facility or hospital care
True or False? Home health care is more expensive than a nursing home.
  • False. The average cost of care from a skilled nursing facility is $544 per day, where the average cost of home health care per visit is $132 (National Association of Home Care)
What is a reverse mortgage?  
  • Loans insured by the Federal Housing Administration (FHA) that allow homeowners to convert their home equity into cash with no monthly mortgage payments. Also known as a Home Equity Conversion Mortgage (HECM)
If I have a reverse mortgage, do I still need to pay property taxes and insurance?
  • Yes, borrowers are still required to continue paying property taxes, insurance, and maintain the home according the Federal Housing Administration guidelines
What are reverse mortgages typically used to pay for?
  • Home renovations
  • Medical and daily living expenses
With a reverse mortgage, how is the amount of money I receive determined?
  • The amount of money the borrower receives is determined by the age of the youngest borrower, interest rates and the lesser of the home’s appraised value, sale price and the maximum lending limit
What are eligibility criteria for a reverse mortgage?
  • All borrowers on title must be 62 year or older
  • Borrowers must meet financial eligibility criteria established by the U.S. Department of Housing and Urban Development
  • Existing mortgage on the home may be paid off with the proceeds from the reverse mortgage loan

How can I receive the distribution of funds for my reverse mortgage?
  • Line of credit – draw as needed up to the maximum eligible amount
  • Lump sum – a lump sum of cash at closing
  • Tenure – monthly payments for the life of the loan
  • Term – monthly payments for a specific number of years

ADDITIONAL WEBSITES FOR EXPLORATION:

http://www.abilitycenter.org/we-can-help/programs/housing-resources-center/home-modifications/

http://www.aarp.org/livable-communities/info-2014/home-fit-resources-worksheets.html

http://www.aarp.org/livable-communities/housing/info-2015/home-fit-dollars-and-sense.html?cmp=EMC-DSM-NLC-LC-HOMFAM-20161116_LivableCommunities_157500_262116-111616-F2-RemodelingDollars_Sense-CTA_Text-CTRL-1603137&encparam=4z9vbT8QYVrsuVVa1y5dSVuSmys7uoWRcaOLQF1Aw4M%3D

 

http://www.nextavenue.org/home-ready-aging-in-place/?hide_newsletter=true&utm_source=Next+Avenue+Email+Newsletter&utm_campaign=614455dbce-05_09_2017_Tues_Newsletter&utm_medium=email&utm_term=0_056a405b5a-614455dbce-165528529&mc_cid=614455dbce&mc_eid=0a6c407340

 

http://www.aarp.org/livable-communities/network-age-friendly-communities/info-2016/8-domains-of-livability-introduction.html?cmp=EMC-DSM-NLC-LC-HOMFAM-20161221_LivableCommunities_157500_262401-122116-F2-RecipeForLivability-CTA_Text-CTRL-1714273&encparam=4z9vbT8QYVrsuVVa1y5dSVuSmys7uoWRcaOLQF1Aw4M%3D