Advice from Seniors Therapy Experts

Wednesday, August 5, 2015

Three Ways Families With Aging Parents Can Stay Out of Court

Posted on March 23, 2015Mikol Davis

Do you get along with everyone in your family?  Lots of people don’t. Old conflicts can rise up when aging parents start to decline in health and need help.  When there is conflict in families, it can sometimes escalate to the point that the parties involved hire lawyers.  After that the lawyers may have an interest in keeping the fight going and no one attempts to resolve the issues. Attorneys fees can take a huge bite out of what Mom or Dad left to their heirs.  Is there a way to avoid these ugly and expensive scenarios?
If you don’t get along so well with everyone in your own family and you hope it never comes to a legal battle about your aging loved ones or their estate, consider these three ways to completely stay away from the courts.
First, make sure your aging parents’ legal documents are in order, up to date and clear.
Sometimes laws change between the time a parent first gets a will or trust done by a lawyer.  20 or 30 years can pass and they never look at the paperwork. Divorces, changes in the situation of the intended heirs and other things can create a need to update the will and trust.  Urge your parents to either get these documents done if they haven’t yet or get the existing papers reviewed and updated by an attorney nearby while your aging loved ones are still competent enough to understand what they are doing.
Besides a will and trust aging parents need a Durable Power of Attorney (DPOA) and Advance Healthcare Directive (also called a living will or power or attorney for health).  Without these documents, legal problems can arise for anyone caring for an aging parent.  When an elder develops dementia, he is going to need help with a lot of things, particularly handling finances. The DPOA will allow the appointed agent the legal authority to act on behalf of the impaired elder and protect him from dangerous financial decisions.
Second, plan ahead for the possible need for care and how aging parents would pay for care when the time comes.
 
One of the biggest problems families have is how to pay for care for parents who lose their independence.  I have seen bitter battles between siblings, accusations of abuse, destruction of relationships and struggles that last for years when families fail to discuss and plan for care of their loved ones.  It’s expensive and there is usually no outside source to pay for the care that parents may need for the long run. People are living longer than ever.  Sometimes, they outlive their savings and have no funds to cover the cost of help in the home.  They may consider assisted living, but can’t pay the monthly fees. The burden then falls on family to provide the care. The person who provides it is often the daughter or daughter in law. She may not get any help at all from other siblings. There is a financial value to providing care, even when it comes from family, but many families fail to recognize this and don’t anything to compensate or help the primary caregiver.
The unfair burden on one sibling in providing care is a frequent source of friction, resentment and anger in families. After a parent dies, the caregiver sibling may feel justified in bringing a legal action to claim a larger share of any inheritance, as payment for providing the care. This can be avoided by discussion, planning, sharing the load, and sometimes by creating written agreements about caregiving among family members.
Third, use mediation when a fight is brewing, before it boils over into a lawsuit.
 
Mediation is an organized process, conducted by a trained and experienced mediator to help willing parties resolve disputes through their own decision making process.  No one tells the parties what they have to do. No one judges them. Rather, they come together, either in person or by Skype, and with the assistance of the mediator, who is a neutral outsider, they get direction and suggestions about possible alternative  ways to work out their issues.  The parties come to their own resolution by making their own choices.  Everyone gets a chance to be heard. The mediator keeps order and facilitates the discussion, which fighting siblings or others usually can’t do on their own.  Many conflicts are successfully resolved through mediation.
Summary
 
Most family disputes can be avoided or worked out with good planning, open communication and the smart use of mediation.  It takes some effort to have the needed communication with aging parents and with siblings to get these things done, but it is well worth the effort.  Avoid the pain that legal cases can create in families and take a step in the right direction to prevent them by initiating the needed conversations.
Until next time,
Carolyn Rosenblatt, RN, Attorney, Mediator
Dr. Mikol Davis, Psychologist

Learn why we all need to protect our aging loved ones from “Financial Elder Abuse”

Aging Parents - Get guidance and solutions now

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Letter: New legislation would help protect seniors' health care benefits - News - Gaston Gazette - Gastonia, NC

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Greenwood: Driving key for seniors’ health

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Liberals announce new healthy living assessments for seniors - Newfoundland & Labrador - CBC News

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Regular, Moderate Coffee Drinking Tied to Better Brain Health in Seniors – WebMD

Regular, Moderate Coffee Drinking Tied to Better Brain Health in Seniors – WebMD

Even-75-minutes-physical-activity-each-week-will-improve-longevity

High-intensity interval training (HIIT) and other types of exercise aimed at “maximum effort to achieve muscle fatigue and maximum oxygen use in a quick burst of exercise” have taken the fitness world by storm. However, how these programs apply to older adults is still not fully understood. A recent study led by Dr. David Hupin, of the Department of Clinical and Exercise Physiology at the University Hospital of St-Etienne-Lyon, has found that 75 minutes of moderate to vigorous physical activity each week is “a reasonable target dose” for lowering the risk for death among people past their 60s.
"Based on these results, we believe that the target for physical activity in the current recommendations might be too high for older adults and may discourage some of them,” the research team said in a statement. “The fact that any effort will be worthwhile may help convince those 60 percent of participants over 60 years of age, who do not practice any regular physical activity, to become active."
Hupin and his colleagues gathered data from nine studies published up to February 2015. Each study examined the risk for death according to the amount of weekly physical activity people in their 60s and up took part in. The amount of physical activity was measured in Metabolic Equivalent of Task (MET) minutes – the amount of energy (calories) expended each minute of exercise. The Physical Activity Guidelines for Americans recommends between 500 and 1,000 MET minutes each week.
Pooled analysis from a total of 122,417 participants, 18,122 who died over the course of 10 years from the start of their study, revealed that even 500 weekly MET minutes (equivalent to 150 minutes of moderate to vigorous physical activity) was associated with a 22 percent lower risk for death compared to physical inactivity. Participants who took in the recommended amount of MET minutes lowered their risk for death by 28 percent and those who participated in over 1,000 MET minutes by 35 percent.
When it came to the recommended daily amount of MET minutes, the research team argued that current standards are often too difficult for most older adults. In fact, findings from the study showed that 250 MET minutes (equivalent to 75 minutes of moderate to vigorous physical activity per week or 15 minutes of exercise a day) was associated with various health benefits, including a lower risk of dying from heart disease, stroke, and all cause mortality. Those first 15 minutes of exercise were considered to be the most important.
similar study that was also led by Hupin was aimed at determining the amount of exercise seniors need to reduce their risk for death. Results showed that even seniors who participate in very low levels of physical activity were still 51 percent less likely to die. The researchers even settled on a dose-dependent outcome: The more exercise a person got, the lower their risk of death over the trial period.
Even a low dose of moderate to vigorous physical activity reduces mortality by 22% in adults aged - 60 years: a systematic review and meta-analysis. British Journal of Sports Medicine. 2015. 

Saturday, August 1, 2015

How do I know if my child needs occupational therapy intervention ?

by Sherri Cooperman B.Sc. OT, OT Reg.

If your child is regularly unsuccessful in completing a task, mastering a skill appropriate for her age or is having problems at school learning new concepts and retaining information, OT may be helpful.  A child would benefit from seeing an occupational therapist if they experience difficulties in any of the following areas:
  • Fine motor tasks ( colouring, cutting, holding a pencil , fastening buttons)
  • Handwriting (messy, dislikes it, tires quickly, unable to keep up with peers)
  • Visual perception/visual motor tasks (matching, copying, puzzles, reversed letters)
  • Low muscle tone (slumps at desk, poor endurance)
  • Gross motor tasks requiring balance and coordination ( ball skills, playground skills, running , bike riding
  • Self care tasks ( buttons, zippers, laces, feeding, toileting
  • Sensory processing (over reacts to touch, taste, sounds or movement
  • Attention and self regulation ( unable to focus, remain seated, fidgets alot, overactive)
Children seen by occupational therapists may have:

  • Poor handwriting / Dysgraphia
  • Learning Disability
  • Sensory Processing Disorder
  • Developmental Coordination Disorder
  • Gross and Fine motor Delays
  • Autism Spectrum Disorder
  • Global Developmental Delay
  • Attention Deficit Disorder
  • Cerebral Palsy
  • Feeding Disorders


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The Amazing Power of Words

Posted by Carolyn Rosenblatt, R.N., B.S.N