Dialysis Decisions & Continued Care for Elders

I just read this article from the New york Times blog about elderly patients who are experiencing kidney failure. For the past several decades, these patients would be led directly to dialysis treatment, which has been completely covered by the federal government.

But today, as kidney failure seems to have skyrocketed since those days, the medical industry now has to make choices as to who will get treatment and who will not. The first problem is that we are broke as a nation. The second problem is that the medical community cannot properly handle all the people who need treatment.

So who gets the free dialysis treatment?

The article goes on to talk about how oftentimes, doctors are hesitant to recommend dialysis for patients who are experiencing a ton of health problems already. If you have a person whose kidneys are failing, and who is also in the late stages of cancer or heart disease, or perhaps Alzheimer’s, etc, then dialysis might be of no use whatsoever. Some doctors say that this treatment could end up causing a world of pain and problems for those seniors. And because there is a shortage of available treatment anyway….

Okay, you can see where this is going. It’s a real problem, but there is something about it that makes me uneasy. Are we talking about health care rationing at this point? Are we going to dictate who is allowed to get what kind of treatment?

Honestly, I don’t know the answers here, but the issue is troubling. The article talks about how almost no senior wants to forgo dialysis. Why? Because they know it can keep them alive. Their quality of life might not be helped at all. But they will at least be alive. And they want that option. But the doctors would counter and say that kidney treatment won’t help them if they are just going to die of something else that they are suffering from.

My question is this: will cardiologists suggest that they should not treat heart patients who are already suffering greatly of kidney issues? Or will they turn down surgery candidates because they think the patient might die anyway as a result of the patient’s cancer? And then will the oncologist refuse to offer chemotherapy to a cancer patient because that patient has heart trouble? Or because the patient is on dialysis?

Do you see the problem? Where does it start, and where does it end? I assume that we are only having the discussion about dialysis because we are talking about the direct appropriation of federal tax dollars?

Look, I am not getting political here. This is obviously a complicated issue, and I don’t pretend to understand it all. I am not a doctor or a politician. I’m a pastor. I happen to think that senior citizens are people who are every bit as valuable as any member of society, no matter what abilities, or disabilities they have. I believe they are made in the image of God, and they ought to be respected. That’s what we do at iCare for Elders. So this whole discussion is really disconcerting. I don’t want to give anyone an excuse to let sick seniors die.

I can only hope and pray that the ones who have to make these awful decisions make them carefully. And that they will put the needs and the desires of patients at the highest priority at all times.

Budget Battles & The Future of Elder Care

Unless you have been hiding under a rock for the past two weeks, you should know that there is a major debate raging in Madison, WI, and around the United States. And no matter what side of the labor protests you side with, there is no doubt that the underlying issues will affect the future of senior care.

The protests that are raging in Madison are being done by public sector unions who oppose the new governor’s plan to balance the state budget. Both sides know the budget crisis is big and something must be done. He wants to cut back on the meaty benefits package that many state employees are getting, which are in many cases far higher than private employees. And he wants to make sure this does not happen again by limiting their ability to collectively bargain. That really set off many of his constituents, especially the public school teachers, and the protests began. Thousands came to the Madison capitol steps, and sparked a nation wide debate on how best to get our finances under control

The purpose of this article is not to splice the labor issues, but to consider the larger issue of what a budget crunch is going to mean for senior care across the country. Here is the reality: we are broke. As a nation, and as individual states. Legislators, governors and presidents have been authorizing new spending bills left and right, but there is not enough money coming in to cover them.

Where is this all going? One place: tax hikes and more spending cuts, across the board. Legislators do not want to end up dealing with Greece has dealt with in recent years, with out of control debt. Nobody wants to go bankrupt, here. And in all likelihood, there are to be cut spending to all sorts of major programs, including some that seniors depend on.

Here’s one article from the Orlando Chronicle that explains the dilemma. As you can see, this is not a Republican / Democrat issue, but a mathematical one. Nobody knows how to predict where the cuts will come exactly, or how deep, but they are going to come. And baby-boomers who are going to be seniors soon would be wise to consider how to best find affordable health care when they need to retire.

Here is why: it costs a state around $6,000 per month in Medicare funds to care for a patient in a nursing home. Naturally, this figure adds up very quickly. As states are looking for places to cut spending, they will not overlook this. And I expect they will turn to cheaper options, like Home Health Care.

Senior Home Care: Is it the Future?

Home Health Care agencies are popping up all over the country, both because many seniors would prefer to stay home then move into a senior care facility, and because home care is generally cheaper than assisted living, which patients usually pay for themselves. This trend is likely to continue as states buckle down on their budgets. If they can affordably take care of Assisted Living patients who need help with activities for daily living, could they also conceivably care for nursing home patients in their own home and save lots of money doing it?

They will certainly look into it, and if you are in this position, you really should consider it, too. Whether you are fitting the bill yourself, or Uncle Sam is helping out, home health care companies are figuring out ways to be more efficient than other forms of care for elders.

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Finding the Right Senior Caregiver, part 1

Recently, a scam artists bilked an 89 year old man out of thirty thousand dollars. Of course, this type of thing happens all the time, right? But there was something especially heinous about this story: the scammer was the man’s caregiver.

Here’s the story. In this case, the caregiver was a woman who pretended to cozy up to the wealthy man and start a romance. She was 58 years old. As he grew to trust her, he asked her to go buy a new car for him, which she could drive him around in. So he gave her the money. Thirty grand.

She bought the car, all right! She bought it, and put it in her name…

Thankfully, this time, the woman did not get away with it. She was arrested, tried and convicted for her fraud, and she even has to pay the money back in restitution. Justice has happened!

But the issue raises a larger issue in my mind: How do you choose a caregiver that you can trust? After all, this story took place in an Oregon assisted living home, but seniors who get home health care from an agency or an individual are far more vulnerable, even. When a person begins to get to know them, to understand how they operate, they could be very easy prey for a scam artist. It could happen through a false romance, but more likely, it could happen in far more subtle ways. A credit card disappearing. Old jewelry, lying around, is suddenly gone. Or it could happen in the most drastic ways of all: the caregiver winds up in the will of the senior, receiving lavish gifts. And the family can do nothing.

With this in mind, we will be exploring how we as family members can protect the ones we love when choosing a caregiver. The discussion will move far beyond protecting from fraud. We will look at how to find a person that will encourage your loved one. Someone who can really be able to relate to them. Someone who knows what they are doing.

So stay tuned for our series, “Finding the right Caregiver.”

Can a Dog Help Your Senior Loved One?

We all know what a big help dogs can be to the handicapped of our society. Seeing eye dogs have been used since before World War II, and guide dogs in general have been used, some believe, for the past 500 years. So I guess it should be no surprise to find that therapy pets have recently been all over Assisted Living locations and adult day care centers helping with seniors who have Alzheimer’s disease or dementia.

So how do they help? Do they fetch memories of yesteryear, when the senior they are visiting had a dog of their own? Maybe. But probably not. What they do is help the patient relax. People who experience pet therapy often get their stress levels reduced, along with their blood pressure. In general, they just feel better.

There is something about therapy dogs and the patients they work with. And this isn’t just some feel-good but far-fetched idea being touted by fringe scientists. Doctors and animal experts–from places like the Mayo Clinic–agree that pet therapy is extremely helpful; almost like having a drug, as elderly care article quotes.

So what does this mean for you? It means you can take advantage. Do you care for your loved one at home? Maybe you should think about getting them a dog. A friendly one, like a well trained golden retriever. Or if you have your senior in an Oregon assisted living facility, consider having pet therapy visits by bringing a pet to them.

I know, I know… it doesn’t have to be a dog. It could be a cat. Or a hamster, or a parrot for that matter. But I’ve got my money on Fido.

How Care for Elders in the Winter

It’s January, and reports of blizzards and record cold temperatures are hitting us like, well, like a barrage of snowfall. Cold weather makes us want to stay inside all day long. But if you have a loved one in elder care services, don’t wait too long! After all, regular family visits are big highlights in the lives of grandparents who live in elder care communities.

But what can you possibly do in the winter?

Here are just a few ideas:

Things to do with Grandma in a Wet Winter Climate:

• Grab an umbrella and take a walk at the park.
• Go visit a nature reserve.
• Take the kids along to the zoo. The animals don’t take days off when it’s wet!

Things to do with Grandma in a Cold Winter Climate:

• Get to a coffee shop, grab some hot tea, and then go take in a local show
• Go to the mall. It’s not snowing there!
• Go pick her up and bring her over to your house. Have her make cookies with the kids.
• Grab a DVD, pick up some lunch, and surprise her at the elderly care facility. That way, she doesn’t even have to put on a coat to have some special family time.

I know, I know… these are pretty basic ideas. But the fact that I came up with a half dozen in a few minutes shows just what a no-brainer this is. So what if the weather is bad! There are lots of things you can do to have a good time, and to help your loved one remember that she is not forgotten!

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