Posts Tagged ‘aging ailments’

Alzheimer’s and Money Problems

Sunday, November 21st, 2010

This excellent short video is a cautionary tale about the dangers of Alzheimer’s for Seniors. The following background story about Alzheimer’s and Money Problems is from CBS News. (“Senior Moment:” As the Boomer Generation Ages, Dr. Jon LaPook Examines How Easily Warning Signs for Alzheimer’s Are Missed. by Jonathan LaPook)

“Dr. Max Gomez was a successful OB-GYN in Miami, delivering thousands of babies. He lived the good life, but admits he was bad with money. Gomez has suffered more than a few bad investments. He is now penniless, living in a care facility paid for by Medicaid.

His son is WCBS medical correspondent Dr. Max Gomez. Even with his training, he missed the warning signs of Alzheimer’s disease until three years ago — when he discovered his father had lost every dollar he’d earned.

Dr. Gomez’s father was not practicing medicine, but still had the title of medical director at a clinic. That clinic made him legally responsible for multiple commercial loans, and took out mortgages in his name.

A girlfriend wrote thousands of dollars in checks against his savings account.

The FBI started investigating after his ID was used to file millions of dollars in false Medicare claims.

“Here he was helpless and being taken advantage of left and right,” Dr. Gomez says of his father. He adds, “There’s never one big ‘ah ha’ moment.”

Patients can seem lucid. Even as, in Dr. Gomez’s case, the disease is destroying the brain. In Alzheimer’s disease, nerve cells die in key brain regions. One of the first is the hippocampus. Damage to the hippocampus, and later the frontal lobe, affect the ability to plan organize and reason – crucial for managing money.

“You can’t retain the facts because of memory, and you can’t utilize the facts efficiently,” explains Mony John de Leon, director of the NYU Center for Brain Health. “It’s very hard – as people become deteriorated – to manage finances.”

The financial services industry realizes brokers and bankers may see aging clients more often than out-of-town families do. They’re training representatives to report warning signs including confusion, mood swings, and losing things. Susan Axelrod of the Financial Industry Regulator Authority adds, “Also importantly, changing a long term investment strategy suddenly.”

Key Facts on Alzheimer’s Disease

Friday, November 12th, 2010

As Elder Law attorneys, we are witness to the painful and ravaging impacts of this disease.

A  2009 report from the University of California  projected a dramatic rise in the number of Alzheimer’s cases in the state. A task force has been formed  to develop a plan on how California can best respond to an impending Alzheimer’s epidemic.

Joshua Chodosh, a UCLA geriatrician who researches dementia and health services utilization, was named co-chair of the state’s Alzheimer’s disease plan task force, which will present its findings to the state in early 2011.

“As the baby boomer generation ages and as people live longer, Alzheimer’s disease has become an urgent issue,” said Patrick Fox, co-director of the UCSF Institute for Health and Aging and an author of the report.

He noted that among California’s baby boomers age 55 and older, one in eight will develop Alzheimer’s.

Here are the key findings from UCSF’s Institute for Health and Aging report for the Alzheimer’s Association:

• The number of people in California with Alzheimer’s will nearly double from 588,000 today to nearly 1.1 million by 2030.

• One-tenth of the nation’s Alzheimer’s patients reside in this state.

• The number of California’s Latinos and Asians living with the disease will triple by 2030, and the number of African Americans will double.

• The annual cost for caring for Californians with the disease could soar to nearly $100 billion in the next 20 years.

• Some 1.1 million Californians today take care of people with Alzheimer’s. Three-fourths of these caregivers are family members.

• Alzheimer’s is now the sixth leading cause of death in the state.

You can go to this link to the University of California article that discusses the scientific inroads to Alzheimer’s diagnosis.

Planning for Long-Term Care

Friday, October 29th, 2010

Planning for long-term care helps identify what service options are available in your community, as well as what special conditions may apply for receiving services (e.g., age, cost, payment options). Obtaining this information is good preparation for the time when a person will be needing long-term care. It will help you understand what choices you have, and control over what, where, and how you receive the services you will need.

About 70 percent of people over the age of 65 require some services. The likelihood of needing care increases as we age. Planning is critical because the cost of long-term care services often exceeds what the average person can pay from income and other resources. If you plan ahead, you may be able to save your assets and income for uses other than long-term care.

With effective planning, there is of course greater likelihood of being able to preserve your estate for your loved ones, by minimizing the costs of paying for long-term care. It also translates to less financial stress and emotional wear-and-tear on you and your family. The chances of being able to stay at home as long as possible and within your community will be much greater. Most importantly, it helps ensure a greater degree of independence if and when you need care.

Despite the importance of planning, a lot of people fail to do so. There are many reasons for this shortcoming. People have a natural tendency to avoid thinking of unpleasant things, of being dependent on others as we age. We don’t like to think about getting older, being disabled, becoming less independent, or needing help with our own personal care. There is also a lot of existing misinformation about long-term care needs, as well as their costs and payment options associated with these services.

For example, most people have no idea how expensive long-term care can be, and how it is paid. Many seniors don’t realize that health insurance, Medicare, and/or disability coverage do not pay for most long-term care services. Medicaid (Medi-Cal) pays for some long-term care services, but only if one qualifies due to income  and financial resource limitations.

Planning for long-term care is a difficult subject of conversation in most families. Adult children may hesitate to bring up the subject, for fear that they may be patronizing their parents. They may think that their eagerness to bring up this topic may be misconstrued as not wanting to provide care for their parents “when the time comes.” Parents may not want discuss the details of their financial life with their children. It may also be as simple as not knowing how to go about the planning process itself.

In future posts, we will talk about some of the key information and resources you need to know in order to plan ahead…

Learn the Stages of Dementia

Thursday, January 28th, 2010

GDS (Global Deterioration Scale) is the rating scale used to determine whether a person has cognitive impairments related to dementia. A cognitive impairment may be any deterioration in skills like thinking, knowing, learning and using judgment. The scale was first published in 1982 in the American Journal of Psychiatry by Dr. Barry Reisberg. Dr. Reisberg says the GDS stages are 1-4, pre-dementia stages, and 5-7 this is when a person can no longer survive without assistance. With more and more older adults being diagnosed with dementia, it often falls on loved ones to learn the stage there loved one is at, and how they can best care for them.

Because the stages often overlap, meaning symptoms from one stage start to seep into a previous stage it can be hard to find where a loved one may fall in the disease process. So to combat this problem, the GDS scale is another alternative to the staging process we already know has limitations.

The staging levels are:
Level 1- No cognitive decline
Level 2- Very mild cognitive decline
Level 3- Mild cognitive decline (forgetfulness)
Level 4- Moderate cognitive decline (decreased knowledge of current and recent events)
Level 5- Moderately severe decline (early dementia- patient can no longer survive without help)
Level 6- Severe cognitive decline (may forget their spouses name, delusional behavior, obsessive symptoms, etc.)
Level 7- Very severe decline (all verbal abilities are lost, requires assistance with everyday needs, loss of basic skills including the ability to walk)

To read the full article, please visit: http://bit.ly/9I0EVQ

This graph shows the impairment of activities in patients with deteriorating mental faculties.