The Storm

“We are not all in the same boat. We are in the same storm. Some have yachts, some canoes, and some are drowning.”
– Adapted quote by Damian Barr

As I managed my own stress and anxiety, sometimes I do not show enough grace to others, and I can compare my burden to others.  On my personal Facebook page, I recently posted an update following my husband’s surgery and many commented that it was “inspiring”.  As much as I appreciated that- I am fortunate to have a great support system in place- that helps my boat weather the storm.  You know what is really inspiring-offering help to others and admitting when we need help.

Rhonda Hamell, Oregon

“I wanted to give you guys an A+ for your services helping me find my mom a care facility to go to after she was in the hospital for a week. This site was very helpful. Thank you!!! Becky was amazing to working with even being out of state. Greatly Appreciate her.”

The Consequences of a Long Lie can be Worse than the Fall Itself

According to Physiopedia, a significant aspect of having a fall is the “long lie”, a term coined for when a person has fallen and spends a prolonged period of time on the floor because they are unable to get up.

The main cause of a long lie is being unable to get up from the ground independently. This could be due to multiple factors, including:

  • Injury from a fall
  • Location of a fall
  • Muscle weakness
  • No one around to assist the fallen individual

This being a contributor to the fact that significant mortality and morbidity are associated with falls in general. Literature defines a long lie as being on the floor for an hour or more. Long lie is a marker of frailty, illness and social isolation.

The fact is falls can still occur even when best practices are applied. Response time is the most important factor. Most older adults who fall don’t remember to push a button or pull a cord for help.

There are many SMART health technology devices on the market that are known as remote patient monitoring (RPM). Bringing technology into daily use is the key to keeping older adults in their home for as long as possible. RPM not only provides a cost-effective care approach, but it also helps improve the home environment.

RPM can be used to treat both chronic and acute conditions, enabling families, clinicians, and agency teams to keep tabs on seniors in-between in-person care or visits.

RPM programs use various types of devices and can be used to track patients’ health over the long term. These can range from smart watches, wearables and virtual devices that don’t use cameras or wearables. Instead, they utilize 4G wave technology and are useful for managing long-term chronic conditions and provide urgent follow up for conditions that require immediate interventions.

One that stands out is the 4G wave technology, a form of 4D radar imaging, fall detection device.

Here is how it works:

  • Sensors are installed in the main rooms – standard packages cover two rooms however additional monitors can be added. Typically, it is recommended that they are installed in the bathroom and bedrooms, which is where most falls occur in the home. Falls are detected and responded to immediately.
  • Weekly proactive calls by Nurses are provided to focus on fall safety techniques and general check-in on wellness.
  • Monthly report provided including actionable solutions to increase safety and reduce falls.

Even though falls are not a normal part of aging, they are happening at an alarming rate. The CDC has declared falls as a public health care crisis and the time is now to identify the right solution to respond to falls that might occur when an older adult is living at home.

Article Provided by:
ComForCare Home Care
503-400-6637
www.ComForCare.com/Oregon/Salem

Be a Rainbow

“Try to be a rainbow in someone’s cloud. “ – Maya Angelou

When I see someone upset, I want to fix it for them or give advice. I find people don’t want my solutions, they prefer my empathy. Sometimes the best support is simply our time and a listening ear. Try to “feel it rather than fix it”

Environment

“Understand that you will be like those whom you surround yourself. Your environment is stronger than you are. “ – Chinese Proverb

It is often easier to get pulled into the negative, rather than to walk away or seek a positive. We hear gossip and frustration several times a day. Do you choose to participate in the negative, walk away, or find the silver lining? I want to find the silver lining- but often still having to work at it.

Be You

“Be who you are and say what you feel, because those who mind don’t matter, and those who matter don’t mind. “ – Dr. Seuss

In high school I remember a conversation with my grandfather when I was upset that someone didn’t like me. He asked… “do you want to be liked or respected?” I asked him-can’t I be both, and he replied- “NOT ALWAYS!” I learned that being authentic requires some self-awareness, mindfulness, and self-acceptance. Not everyone will agree with you, but you sure will have a better idea of who does and why.

Concise Messages

“I didn’t have time to write a short letter, so I wrote a long one instead.” – Blaise Pascal

Sometimes it is easier to share a lot of words quickly, rather than to say something briefly but to the point with more meaning. Brevity forces us to cut ambiguity and conditional language. A concise message has both value and challenges.

Amy Schmidt
Retirement Connection
503-505-5865
amy@retirementconnection.com

Opportunity

“In the middle of difficulty lies opportunity.” – Albert Einstein

When I read this quote, I think about “Mushrooms”. You know where mushrooms grow, right? Sometimes we need to grow through a layer of CRAP before we really get to see the light of day. I am optimistic that everyday can be better if I chose to focus on the sunshine of helpers and the opportunity to grow, not just the crap that surrounds us. I just need to look a little harder sometimes.

How to Qualify for Medicaid Benefits

Black & White Rules?

The first thing a law student learns is there is no such thing as a “black and white”rule. To every rule there is an exception(and probably many!). These exceptions make the rules of our society vastly more colorful than the average person would expect, and Oregon Medicaid is no different. Many people have heard the requirements to qualify for Medicaid are very strict. The rules are as follows: the applicant must 1. Need assistance with activities of daily living; 2. Have income under $2,349 a month; and 3. Have $2,000 or less in assets. On their face, these rules appear to exclude most people from qualifying for Medicaid benefits to pay for long term care. However, the exceptions to these rules make Medicaid far more inclusive than first meets the eye.

Exceptions to the Rules

The first thing a law student learns is there is no such thing as a “black and white” rule. To every rule there is an exception (and probably many!). These exceptions make the rules of our society vastly more colorful than the average person would expect, and Oregon Medicaid is no different. Many people have heard the requirements to qualify for Medicaid are very strict. The rules are as follows: the applicant must
1. Need assistance with activities of daily living;
2. Have income under $2,349 a month; and
3. Have $2,000 or less in assets.

On their face, these rules appear to exclude most people from qualifying for Medicaid benefits to pay for long term care. However, the exceptions to these rules make Medicaid far more inclusive than first meets the eye.

Qualification

The obstacle for most clients in qualifying for Medicaid is being “over resourced,” i.e., having too many countable assets. The question is usually, how can we protect what we have so that my spouse does not go broke? Is it possible to legally protect assets and meet the spenddown requirements to qualify for Medicaid? In many cases, the answer is yes. The only way to know for sure is to meet with an elder law attorney.

In conclusion, many clients are surprised to learn that through the many exceptions they or a loved one can qualify for Medicaid with some simple planning. The old adage holds true, “knowledge is power!” *All rules, exceptions, and numbers in this article are as of December 2020, but will change as they do each year.

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Article Provided by:
Michael J. Rose, Attorney
Rose Elder Law, LLC
971-865-3171
RoseElderLaw.org

Identifying Isolation and Loneliness

In this time of social and physical distancing, staying emotionally  connected with other people is more
important than ever. Senior isolation was a troubling issue long before the pandemic, but now it’s a public health crisis. In fact, some experts are now referring to senior loneliness as a “silent pandemic” affecting millions worldwide.

Isolation happens when a person does not have enough people to interact with. Loneliness manifests as a feeling of distress over not having enough social relationships or contact with others.

The global pandemic has limited people of all ages from engaging socially in the ways they normally would. Being with other people is a human need that brings enjoyment and fulfillment to life. Social and physical distancing measures for limiting the spread of COVID-19 have given the broader population a taste of the isolation and loneliness that many seniors feel on a regular basis. For seniors, the very circumstances of their lives nudge them toward isolation whether it be mobility limitations, sensory deficits, or chronic conditions with their accompanying symptoms.

Seniors’ health risks from loneliness are significant and are now becoming more commonly known. The growing awareness about senior isolation may be one of the silver linings in the dark cloud of the global pandemic.

Some studies have shown that senior isolation and loneliness are more harmful than smoking 15 cigarettes a day. Alcoholism and diabetes are even smaller risks to seniors’ overall health than isolation and loneliness. With so much at stake for seniors, awareness, education, and advocacy are keys to improving health outcomes.

Though 43% of seniors report feeling lonely on a regular basis, those with the highest health risks live alone, have few friends, have strained relationships, and live in unsafe or inaccessible places. Other risk factors include: Mobility issues, Cognitive impairments, Poor mental health, Untreated hearing loss, Language barriers, Technology challenges, Major life changes (becoming a caregiver, loss of a spouse, moving, etc.) Being in a marginalized group Poverty.

If you are wondering if an aging loved one is suffering from social isolation or loneliness, consider the following list of symptoms: aches and pains, headaches, worsening medical conditions, drastic mood changes, anxiety, paranoia, lethargy, sleep issues, loss of appetite or sudden weight gain, substance abuse, poor personal hygiene, hopelessness, and thoughts of suicide. Online assessment is available at www.connect2affect.org. On a hopeful note, research shows that human connection can reduce the risk of early mortality by 50%.

Senior Loneliness Line- 800-282-7035 or 503-200-1633

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Article Provided by:
Home Instead
503-747-4663