About Bill & Diane Mathis

Friday, July 29, 2011

Important Community Services for Long Term Care

Listed below are 14 areas of private sector advisors or providers supporting long term care. We believe the average American is not aware of many if not all of these important services.

These are the specialists, advisers or providers that can make the difference in allowing someone needing care or his or her family to have a choice in care options. Without help, they family may not always choose the best care settings. Without help, untapped sources of government or private funding to pay the costs of care may go unrecognized. Much of this advice and many of these services will also help improve the condition or the environment of someone needing long term care.

Families that are prepared for care in advance and understand the services available are going to be significantly more successful than families that use a last-minute "do-it-yourself" approach. As a general rule, using a professional will save help conserve assets, uncover unknown sources of funding and relieve stress on family caregivers.

Here is a list of these services

1. Geriatric and Professional Care Managers or Geriatric Specialists
2. Geriatric Medical Services
3. Medical and Non-Medical Home Care Services
4. Home Maintenance, Transportation & Chore Services
5. Home Disability Support and Medical Alert Systems
6. Elder Law and Estate Planning Advice
7. Elder Mediation Services
8. Guardianship and Trust Administration
9. Financial Services Specialists
10. Reverse Mortgage Specialist
11. Seniors Relocation and Real Estate Specialist
12. Hospice Care Provider
13. PrePlanning, PreNeed Funeral Providers
14. Veterans Benefits Consultant

To learn more about these services and how they support family caregivers please contact Always Best Care Senior Services at 619-757-1114.
Recognizing the Need for outside Help in Caregiving

Caregivers often don’t recognize when they are in over their heads, and often get to a breaking point. After a prolonged period of time, caregiving can become too difficult to endure any longer. Short-term the caregiver can handle it. Long-term, help is needed. Outside help at this point is needed.

A typical pattern with an overloaded caregiver may unfold as follows:

• 1 to 18 months--the caregiver is confident, has everything under control and is coping well. Other friends and family are lending support.
• 20 to 36 months--the caregiver is taking medication to sleep and control mood swings. Outside help dwindles away and except for trips to the store or doctor, the caregiver has severed most social contacts. The caregiver feels alone and helpless.
• 38 to 50 months--Besides needing tranquilizers or antidepressants, the caregiver's physical health is beginning to deteriorate. Lack of focus and sheer fatigue cloud judgment and the caregiver is often unable to make rational decisions or ask for help.

It is often at this stage that family or friends intercede and find other solutions for care. This may include respite care, hiring home health aides or putting the disabled in a facility. Without intervention, the caregiver may become a candidate for long term care as well.

It is also important to use outside professional help in a caregiver setting. A financial planner, care funding specialist or a reverse mortgage specialist may find the funds to pay for professional help to keep a loved one at home. A care manager can guide the family and the caregiver through the maze of long-term care issues. The care manager has been there many times the family is experiencing it for the first time.

An elder law attorney can help iron out legal problems. And an elder mediator can help solve disputes between family members. Having competent advice can often make the difference between allowing a loved one to remain in the home or being forced to seek out government welfare assistance.

Due to pride or sheer determination some caregivers allow the situation to go beyond their control. They have gotten to a point where depression and fatigue have clouded their judgment. At some point the caregiver will have to admit that he or she can't handle it alone and a better solution must be found.