‘Long Term Care’ Posts

Can the Health Care Reform Really Help with Long Term Care?

October 24th, 2016 by Doris Bersing

healthcare reformThe health care system plays a very important role for every country around the world. Through well-established rules and laws as well as a good health reform, the long term care can and should be constantly improved. This way, every citizen of every country might benefit from the best health care conditions no matter the situation. There are numerous factors that add up to the equation. All of these highly influence the overall results of the quality of national long term care. Let’s analyze this more in detail below.

The Effects of the Well-being of the Families on the Stability of the National Economy

A good, effective health care system is first of all good for the citizens of any country or better said for any human being on Earth. We all need medical care sooner or later and a perfectly established system can only prove to be beneficial for us. Moreover, when families in a certain state are doing well from this point of view as well as others, this is also highly beneficial for the overall quality of the national economy.

All these factors go hand in hand. As a result, when all details are carefully considered, the end-results are noticeable and beneficial both for the citizens and the country they live in. The nation’s economic stability highly depends on the well-being of its inhabitants. Moreover, it is also influenced by proper support systems ensured for people dealing with health disabilities. These focus on offering them the chance to integrate well in society.

The state in itself could not help with long term care better than by imposing effective health reforms. These should be developed for the citizens and by keeping their needs and requirements as the main concern and focus. The factors involved in this case are numerous and varied. However, proper care for patients should always be on top of the list. As a result, every new rule and any new system should come accordingly.

A Good Health Reform for Restoring National Prosperity

The reality is that many people are skeptical when they hear about the health reform. Their concerns are not necessarily related to the existence of the health reform but rather to how effective it might actually be for the overall national well-being.

There is nothing wrong with the concept itself. However, it is more than important to make sure that the rules will ensure the well-being of the country and its citizens. Moreover, such changes should not bring any negative effects or leave any type of needs uncovered. The purpose is to restore prosperity for families as well as the national economy and the fiscal health.

A well-established health reform developed by specialists with both theoretical and practical experience is essential. Furthermore, it will ensure affordable health care for everyone. Moreover, it is also vital for slowing general price growth in the case of health entitlement programs

expenditure

Focus on the Needs of People Who Need Long-Term Care

When it comes to long-term care, a health reform becomes even more important and necessary. Why is that? Because these people need a perfect system to ensure that their needs are fully covered the entire period of time they need proper care. It is not about going to the doctor for a single visit or treatment in their case. They need constant assistance, proper medication availability and prescriptions. They also need people specialized in offering them the support they need.

Furthermore, the need for long-term care is not just limited to people reaching their senior age. There are also numerous adults and young people dealing with health issues that require long-term care. A health reform should include all these situations and establish the perfect conditions for all citizens. No need to just encourage families to plan ahead. These people need serious, realistic solutions that will be advantageous both for them and the national economy system.

A Serious National Concern

All in all, the great majority of Medicaid spending goes for appropriate services for long-term care patients. A good health reform could target such needs of the population. This would allow it to strengthen the healthcare requirements of the citizens thus ensure a stronger Medicaid system for the future.

There arealso certain Medicaid post-acute type of care services that could find place in the system. These could fill-in for certain long-term care needs that might be uncovered at the moment due to system breaches. There are effective solutions to find and adopt such as good care homes in London but this is only possible through a well-established system like the national health reform.

Our Long-Term Care Journey

April 14th, 2015 by Doris Bersing

Aging in PlaceMaking a life-changing decision on a loved one’s long-term care and considering a nursing home or assisted living facility is never easy and there are many hurdles that must be overcome. For many, this may not be necessary as they will receive the care they require in the comfort of their own home, which is certainly the first option for a large percentage of seniors receiving care.

According to an AARP study 89% of those 65 and older would love to age in place for as long as possible, and there are several important benefits of aging at home, like improved health, routine, independence and the familiar setting. If medically and financially possible, there is no place like home. In-home care can be affordable, when limited in services and in number of hours per day.

For low income seniors, there are several programs, like the In-Home Supportive Services (IHSS) program, the Cash and Counsel program, or if you or your family member is a US veteran, the VA administration for veterans may cover a variety of in home care services in your state. Services that are typically covered by these programs include, health care, personal care, homemaker care, adult day care, transportation, medical equipment and some minor home remodeling.

For those that prefer a group setting, or home care is not appropriate and/or affordable, and the family feels that a nursing home or assisted living facility would be the be the best fit, obviously there are many emotional issues that need to be dealt with. Often there are conflicting emotions raging, including, guilt, anger, sadness and helplessness, when they are no longer able to provide the care that their loved ones now require.

Another area that needs to be navigated when considering a nursing home, is how to pay the bill, which for many American families is financially out of reach even after saving up for a considerable number of years. The same situation arises with home care services; unless the person has savings, equity in their home, or Long Term care Insurance, cost can be an issue. The federal and state governments provide Medicaid/Medical help if the individual meets all financial and medical eligibility guidelines. There is often a grueling task, companies like Senior Planning Services could help you with the Medicaid application process, or you can address your local Medicaid office, often, with the risk of failure quite high.

Last but no least, there are considerations as far as choosing the right nursing home or assisted living facility for mom or dad, to the right in-home care agency that will take into account all personal, cultural, religious and location-based preferences. This accumulation of stress is enough to inundate any sane person, but for the nearly 65 million heroic individuals providing care in the US for a loved one, this is often the best care option for the senior.Having worked for many years as a nursing home placement coordinator for a NJ-based Medicaid planning company, I’d like to share the personal saga of one of our clients which touched me deeply.

Several months ago I was contacted by a woman living in northern New Jersey. Her mom, who resided in central NJ in Ocean County, was suffering from severe dementia and the daughter wanted her admitted to a nursing home in her own area, up in northern NJ, in Bergen County. In addition to her dementia, the elderly woman also had severe behavioral issues.

The family was in the Medicaid application process and their application was in the pending status. Because of her unique needs, our options were quite limited. We needed a nursing home with a secure unit where the residents could not wander out of the unit, since a wander guard would not have been sufficient for this woman. Dementia patients tend to become so confused and lost in their surroundings, that they will try to leave the premises even when wheelchair bound.

The woman, as we mentioned earlier, also had violent tendencies and would sometimes act disrespectfully, hit other residents and caregivers, and needed a nursing facility that was equipped for these needs. These issues made finding the right facility a nightmare.

When we did find one or two, we were turned down, since our Medicaid status was still pending and not all nursing homes were willing to work with Medicaid-pending applicants.

In the meantime, we found placement for the woman in a nursing home in the Ocean County area which was able to provide all of her needs. I had a good working relationship with this facility and, after some cajoling, they accepted her, confident that the Medicaid application would be approved. It didn’t satisfy the requests of the daughter, though, who wanted mom close by.

When the Medicaid application was subsequently approved, we were successful in transferring the woman to a facility closer to her daughter in Bergen County. We were all very excited that it had worked out well for everybody, at last. The daughter thanked me profusely for the effort I had expended in making it happen.

It was heartbreaking when, days later, the woman passed away at the facility…

Conclusion: You know, as professionals, we try to maintain a certain degree of detachment in order to be better able to assist our clients, but at the end of the day… it’s painful. We do develop relationships with the wonderful people whose long-term care is entrusted to us and when they go so quickly, it’s like losing a friend or relative, in a sense.

In collaboration with Benjamin Lamm, a senior advocate.