A Fleeting Moment

“Tough break this Alzheimer’s,” these were the words uttered out of the mouth of the afflicted mother to her daughter.

The daughter and I shared a smile over this comment, half laughing and crying all in one breath, we are good friends and we can do that.  In private, I let the words just linger for a while, in my heart and in my mind because they were so insightful even if it was just a fleeting moment of clarity; so profound, so true and so unfair.

As family members how do we handle these moments?   What do we do with the words that are being bestowed to us by our loved ones who are suffering from this debilitating disease?  Their words can sometimes sound like lyrics to a song with an underlying meaning and they seem to be thrown at us during our weakest hours; they catch us by surprise and they can rock our world.

We cling on to them, tuck them away into the recesses of our minds, or write them down and cherish the glimpses that our loved one is sharing with us of their former selves during their long goodbye…that is all we can do.  One day they will be gone and it will be their astuteness that we should remember them for; it is their gift to us.  The intent may be nebulous as we are riddled with sadness and exhaustion from caregiving but when the darkness vanishes and the clouds part, we will see their words etched in the sky as the sun illuminates their meaning and then we will find peace knowing it was a “tough break,” but we did the best we could and that was all they ever needed from us.

Share

Tags:

Ralph Waldo Emerson

My client had one of my favorite quotes out on her night table and I told her I had it hanging on a sign in the powder room, this started a discussion I will never forget.

“To laugh often and much, to win the respect of intelligent people and the affection of children…

To leave the world a little bit better…

To know even one life has breathed easier because you have lived, that is to have succeeded.

Ralph Waldo Emerson

Then she turned to me and said,” Live this way as much as you can Monique, it will bring you the greatest satisfaction at the end of your life and trust me the end comes sooner than you think.  I lived my life selfishly and now I have nothing to show.”

Another day in the classroom of life!

Share

Tags:

Hiring Within

As more and more families are faced with the difficult challenge of managing the care of their aging parents and the fiscal burdens that are often associated with long term care, hiring from within is becoming an increasingly more popular option.

Let’s say you have a sibling who is willing an able and take on the caregiving responsibility for your parent, it is imperative that you draft up a contract just as you would with any other employee.  More and more families are seeking the advice of elder law attorneys to set up contracts as this issue is becoming more prevalent.  One of the biggest mistakes families make is to assume since it is family no care plan or formalized set of rules need to be implemented.  Everyone involved should be on the same page, so have a family meeting if necessary and then have a written agreement drawn up that provides transparency.

As you begin to consider an agreement ask these questions:  What is the job description? What does your parent need?  What are the specific tasks that the family caregiver will be providing?  How long will these tasks take to accomplish each day? Does the family member have the skills that are needed?  Will you hire a third party to come in and evaluate how the caregiver is doing? Who will be the back up caregiver when the primary person needs a break or becomes ill?  Who will issue the checks? What is the salary going to be?  Does the caregiver realize there are tax implications?  Will there be benefits?  Paid vacation?  Is room and board included?

Carefully think through the sensitive nature of this relationship and how it can cause tension if you do not clearly spell out the job description and the responsibilities.  Many family members believe they can jump into the role of being  a caregiver because of the fiscal benefits but being a good caregiver requires a unique skill set and that should not be underestimated.

Share

Tags: , ,

Man’s Best Friend

 

Schatzie sits behind me in this chair everyday while I am on the phone consulting, writing reports or attending to the blog.  This look is my guiding light some days.

 

Share

Tags:

Home Care and Medicaid

The issue of home care comes up during most of my consultations and people are typically surprised by two elements.  One that Medicare only pays for home care if it is ordered by a physician and it is medically necessary, meaning there is a skilled need such as a nurse to dress a wound or a physical therapist to assist with rehabilitation.  The second item is that Medicaid can provide home care.

Administered by the states, Medicaid is a joint federal-state medical assistance program for low-income individuals. Each state has its own set of eligibility requirements; however, states are only mandated to provide home health services to individuals who receive federally assisted income maintenance payments, such as Social Security Income.  Under federal Medicaid rules, coverage of home health services must include part-time nursing, HCA services, and medical supplies and equipment.  At the state’s option, Medicaid also may cover audiology; physical, occupational, and speech therapies; and medical social services. Hospice is a Medicaid-covered benefit in 38 states. The Medicaid hospice benefit covers the same range of services that Medicare does.  Call the local Department of Social Services if your parent is on Medicaid to find out if they may qualify for home care.  They will schedule an assessment to determine eligibility.

Share

Tags: , ,