LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Our Goals After this training, you will…. • Understand the comprehensive elements of long term care Long term care depends on your client’s.... • Understand the levels of care and types of living • current health status situations are available to seniors as they age • anticipated future needs • Have the ability to help your clients better plan for aging and have enough information to know where • preferences for assistance in managing day-to-day activities to turn when they call you with a crisis. Finances are a Key, if someone’s Financial situation does not match their Long Term Care expectations it’s your job and my job to work together to make them become realistic. LIFE CARE MANAGEMENT FOR SENIORS AND iNDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Navigating Long Term Care is Complicated Long Term Care Basics What Determines Ability of Self Care? The Care and Medical Community has determined Good News Bad News that the criteria for self care falls into two categories. • Information readily • Information is often "There are only four kinds of people in this world. Those who HAVE BEEN caregivers, those who ARE available incomplete or • Activities of Daily Living (ADLs) inaccurate caregivers, those who WILL BE caregivers and • Many different sources • Instrumental Activities of Daily Living (IADLs) • Information most often those who WILL NEED caregivers.” of information driven by marketing agendas -Rosalynn Carter • Difficult to apply to individual needs IKOR of Western Pennsylvania www.ikorglobal.com 1
LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Senior Living Situations Activities of Daily Living (ADLs) Aging in Place • Eating Living with Family • Bathing -Adult Day Programs • Dressing -Senior Life • Toileting Continuum of Care Communities (CCRCs) • Transferring Independent Living • Maintaining continence Assisted Living/Personal Care Personal Care Respite Types of Senior Living Situations Memory Care Skilled Care Other Long Term Care- Options for Older Adults LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES What is a Nursing Home Aging in Place Instrumental Activities of Daily Living (IADLs) Generally most non-care related professionals seem Aging in Place • Shopping to call any senior care community a Nursing Home. A senior will remain in his or her own home for the • Cooking later years of life as a lifestyle choice; not moving • Managing medications into a smaller home, assisted living, or a retirement Care professionals consider a nursing home to be • Using the phone and looking up numbers skilled nursing care. Skilled care can be needed after community. a hospitalization or skilled care can be considered • Doing housework long term care. We highly recommend Aging in Place with a Plan. • Doing laundry • Driving or using public transportation • Managing finances IKOR of Western Pennsylvania www.ikorglobal.com 2
LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Aging in Place with a Plan Aging in Place with a Plan Living with Family: In-Law Apartments/ Granny POD Making the home Safe Home-sharing programs: -often requires home modifications and structural changes 31% Matches older homeowners with older local people -state and county codes looking for a reduced rent, usually in exchange for Living with chronic diseases at home helping around the house. would live with a younger family member when -consider current and future types of support In-home caregivers and/or companions they could no longer live on their own Live-In Caregivers: This is a common senior service that helps many seniors stay in their homes. Service Providers help to find a Living Caregiver i.e.: 51% like a Nanny provider service. Consider a life care manager We recommend a Caregiver Agreement and a Live- willing to have an older parent move in with them - helps evaluate, coordinate, or provide crisis intervention in Caregiver Lease Agreement supervised by a third when they could no longer live on their own -provides guidance in selecting and coordinating senior housing options, long term care, in-home care, and other party and legal counsel. related services. -Gallup & Robinson (survey on aging and quality of life) LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Aging in Place with a Plan: Solutions Aging in Place with a Plan Continuum of Care Communities (CCRCs) Understanding risks involved • CCRC’s are retirement communities with accommodations for independent living, assisted living, and nursing home -Consider carefully with family and senior professionals • Aging Life Care Professionals care, offering residents a continuum of care. A person can - Make a care plan spend the rest of his life in a CCRC, moving between levels http://www.aginglifecare.org/ -Taking action as soon as possible of care as needed Transportation • Offer various housing types (depending on needed • Longwood at Home assistance level) -Develop a backup plan • Buy–in 90%, 50%, 0% $250,000-$400,000 plus monthly http://www.longwoodathome.org/ - Consider a role for the in-home caregiver or companion service fee $4,000-$6500 per month Having the ‘talk’ • Daily Money Managers • Big Tax Credits Available -Encourage seniors to take charge of their life now • Separate homes/apartments for independent living https://secure.aadmm.com/ -Client should initiate talks to make known plans and needs • Assisted living facility for help with ADLs Making a care plan • IKOR www.ikorglobal.com • Skilled Care Facility on site - Crucial for keeping control over finances and health concerns • Often includes memory care -Update over time • May or may not be accredited IKOR of Western Pennsylvania www.ikorglobal.com 3
LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Local Independent Living Community Local Continuum of Care Communities (CCRCs) Assisted Living . Residential Care Home . Personal Care Home . • Brookdale Mt. Lebanon • Manor Care • Friendship Village • Paramount Senior Living • Elmcroft • Asbury Heights • Arrowood at Southwestern • Junipter Village • Providence Point • Stonebrook Village • Mt. Vernon of Elizabeth • Vincentian Villa • Point Pleasant Retirement Community • Overlook Green • St. Barnabas Communities • Many others • Masonic Village Of Sewickley • Longwood at Oakmont • Sherwood Oaks LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES LIFE CARE MANAGEMENT FOR SENIORS AND INDIVIDUALS WITH DISABILITIES Memory Care Independent Living Community Assisted Living . Residential Care Home . Personal Care Home . • Independent living communities are also known as retirement Memory Care • 24-hour care communities, retirement homes or senior housing. • Medication management • Memory care is a distinct form of long-term care designed • They offer limited assistance, they offer a broad range of intellectual, physical and social activities. • Group dining to meet the specific needs of a person with Alzheimer's • Residential apartments (kitchenette often included) disease, dementia or other types of memory problems. • Social and recreational activities • Safe, warm, friendly environment • Often Secured units, alarm devices and enclosed outdoor • Housekeeping and laundry • On site support daily tasks (cleaning, laundry) areas to keep people safe from wandering are only part of • Medical services may be available on site the picture. • Resident social activities (outings and visits) • Provide transportation (cars allowed) • Service plan for each resident evolves over time • Staff members are trained to understand the needs of people with dementia, who can lose the ability to • Group meals (restaurant style) • Facilities are licensed in most states communicate in normal ways yet still respond to verbal cues • Residents allowed home care to assist with ADLs • Billing is monthly rent plus fees for extra services and sensory stimulation. • Insurance may cover some costs (excluding Medicare) Cost: $4500-$6800 per month Cost: $2000-$3500 per month Cost range from accepting social security up to $8,000/ month IKOR of Western Pennsylvania www.ikorglobal.com 4
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