Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Moving an Aging Parent in- Creating a Care & Rental Contract

September 27, 2014

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Creating a care contract for rental is another financial decision that a family and an elder should consider before they take steps to move an elder in with them.

Creating a rental contact can also have tax benefits to you according to AARP  If your parent is on SSI, their benefits can be reduced by 1/3 by moving in with an adult child and  paying rent. The rental amount can assure that the parent will still be available for Medicaid .

The adult child can also claim the aging parent as a dependent if they are paying more than half of an elderly parent’s expenses for food, housing and medical supplies. Of course all this should be discussed with a geriatric care manager  who should refer you to an elder law attorney to help you do all the research and set up these contracts before you make a decision to move a parent into your home or the aging parents consents to move.

Filed Under: Aging Tagged With: elder law attorney, geriatric care manager, intergenerational family, legal issues moving aging parent, rental contract with elder

What is a Geriatric Care Management Care Plan? Crafting Ingenious Interventions

August 10, 2013

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Crafting Interventions

Interventions in a care plan to be placed in the home and followed are less complex at times than interventions in a written geriatric assessment sent to a judge or used by an elderlaw attorney. The judge and attorneys are not health care providers and may need less jargon-free but yet very clear, interventions.

 

Once you know where to find the interventions for your care plan, tailor these interventions to the client. For example, consider Gertrude Sterling’s problems in her care plan— She does not want to pay for care pay for care and legal documents have to be crafted by an attorney.

The creative intervention for the  GCM client Ms. Sterling’s problem is the geriatric care manager brought in a financial planner and elder law attorney to arrange for one son, to willingly lent his mother the money for care on the condition he will get it back in his inheritance.

Each intervention must have a clear plan. By arranging for the son to pay for home care, through an agreement crafted through a financial planner and elder law attorney ,the GCM created the perfect and ingenious intervention, to Mrs. Sterling’s problem of refusing to pay for home care.

You must state in your intervention who will carry out the intervention, (the son, financial planner and elder law attorney, how it will be carried out meeting of these three drawing up documents to pay for Ms. Sterling’s home care and getting money back from estate after her death, the number of times it will be carried out (2 meetings), and how you will measure that it was carried out (Mrs. Sterling signed the documents acknowledging she agreed with this plan.

 

Filed Under: Aging Tagged With: care plan interventions, care planning, Certified Financial Planner, elder law attorney, geriatric care manger

Tools of the Geraitric Care Manager- ElderLaw Attorney

July 17, 2013

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ESTATE PLANNING RESOURCES:

The whole family approach takes geriatric care management tools and one is knowledge of resources. One resource is an elderlaw attorney The care manager, Ms Full Charge in our GCM  you tube series next referred the family to an elder law attorney, Mr. Pringle, with a background in estate planning and the experience working with special needs situations. The attorney can assist Mrs. Sterling by reviewing her current estate planning documents as well as creating documents that may include: a will; a living trust; a special needs trust; and/or advanced directives.

The attorney encourages Mrs. Sterling to discuss her estate plans with her children Jane Bob and Michael. He suggests a family meeting . This not only serves as an assurance that they will perform the roles she may request of them in her estate plans, but moreover, it can help mitigate the potential conflict that arises within many families after a parents death.

Filed Under: Aging Tagged With: elder law attorney, estate planning, family meeting, geriatric care manager, special needs trust

Areas to Cover in Whole Family Approach -Relationship to Money

June 17, 2013

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Relationship to Money- Values concerning spending, saving, and inheritance often impact the family caregiver. This must be picked up in a psychosocial assessment using the whole family approach.

The circumstances for those who lived through the great depression have made many adults fearful of spending and taking any financial risks. Raised in a relatively secure environment, this can be very difficult for the adult children to understand. Talking to “The Greatest Generation” parents about money is difficult, especially if the money you are talking about is theirs. They belong to a generation that was taught to keep their information private, and not to share their concerns openly. Even if they need help, they may not be willing to talk to you, because it’s ‘none of your business,’ or because they are afraid to give up control over their financial affairs.

It is incumbent upon adult children to bring up this difficult topic of money before a crisis hits. This can assure that the emotional aspects of spending; the differing relationships to money, and the objective realities are resolved. All too common, when financial issues are ignored, situation of inappropriate spending, withholding of services or fiduciary misconduct arise.

There are other situations in which family members may question expenditures for the senior, out of concern that future inheritance may be depleted. This is another problem with relationship to money. If the aging professional or geriatric care manager finds adult children withholding needing services even if the money is there to pay for them that is a red flag.

 

All this can be gathered by using the whole family approach and talking to each adult child in the family plus the elderly client, spouse, physician and elder law attorney if in the case.

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, elder financial abuse, elder fiscal abuse, elder law attorney, elders not spending money on care, financial abuse, geraitric care manager, Geriatric Assessment, geritaric care manager, greatest Generation, greatest generation cohorts, greatest generations relationship with money, Marriage and Family Therapist, Psychsocial Assessment, quality of life in retirement, relationship to money in aging, Whole Family Approach, whole family assessment

Anxiety, Depression and Medication Abuse in Elders- How Do You Assess?

April 24, 2013

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Psychosocial and functional assessment of elders can reveal the presence of anxiety, depression and substance abuse. All of these which create giant, holes in an older person’s safety net. Substance abuse can be alcohol abuse or drugs. A physician many times prescribes multiple medication that can be abused by elders who suffer from depression and/or anxiety.Multiple physicians, can prescribe the same medications, if the older person is involved with what you call polypharmacy or getting the same prescription for from multiple doctors who do not know other doctors wrote the same prescriptions. Electronic medical records are a way to address this but not fail safe unless universal, as in true in the VA world wide.

 

Find out about assessment tools used by geriatric care managers and aging professional for assessing alcohol abuse, medication abuse, anxiety and depression on this segment of attorney Ramsey Bahwey who interviewed me recently on his You Tube show, You Money Your Life  about elder issues. Remember this is a 2 minutes interview and brief snapshot of what it takes me multiple lectures to cover. To learn more about psychosocial assessment visit my GCM You Tube channel

 

Filed Under: Aging Tagged With: adult protective services, aging family, aging parent, aging parent care, aging parent crisis, Alcolhol abuse in the elderly, Anxiety Assessment for an older person, anxiety in an elder, Care Managers Working with the Aging Family, care plan interventions, case manager, Cathy Jo Cress, crisis with aging parents, Depression Assessment for Older person, elder law attorney, elderly drug abuse, elderly women & prescrition drug abuse, Functional Assessment, geraitric assessment, geraitric care manager, Geriatric Assessment, geriatric care managers, IADL Responsibility for Own Medications, polypharmacy

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Cathy Cress is the leading national expert in Aging Life and Geriatric Care Management. She is author of Handbook of Geriatric Care Management 4th edition, Jones and Bartlett, published 2015 and known as the bible of geriatric care management. Continue Reading >

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