Author: hawthornseniorliving

May 15, 2024 | Safety/Disasters/Pandemics - Tips & Tricks | by hawthornseniorliving

Essential Home Safety for Older Adults

Imagine your loved one, comfortable and confident in their own home. They can navigate their living space with ease, engaging in the activities they cherish. This feeling of security is priceless, and creating a safe haven in their familiar surroundings is achievable.

To obtain this sense of security, it’s essential to address the challenges of aging in place proactively. With time, aging can bring unexpected hurdles such as changes in vision, hearing and mobility. However, by embracing these changes and adapting your loved one’s living space, you can create an environment that fosters safety, support, and most importantly, peace of mind.

Home safety for older adults should be a top priority, as it directly impacts your loved one’s ability to live independently and with dignity. By identifying common risks and implementing straightforward solutions, you can transform their home into a secure oasis. This proactive approach not only enhances safety but also allows them to continue enjoying favorite activities, spend quality time with loved ones and maintain confidence in their daily routine.

Discover solutions that make sense

Whether home safety means making repairs and modifications or incorporating new technological solutions, the proactive steps you take will build a more secure, accessible home room by room.

Four Threats to Home Safety for Older Adults

An unsafe home environment often leads to injuries and the loss of independence.

  1. Falls
    Falling and breaking a hip is often used as a punchline, but a fall is no joke. It’s the number one leading cause of injury for adults 65 and older, and it usually happens during their daily routines. Nearly a third will experience a fall, and seventy percent of those falls happen right at home.

  2. Fires
    Consider this fact from the National Fire Prevention Association (NFPA): Older adults are twice as likely to be killed or injured in a fire than the rest of the population. The risk goes up to three times by age 75 and four times by age 85.

  3. Poisoning
    Carbon monoxide from a poorly functioning furnace, gas stove or fireplace can go undetected, causing accidental poisoning and possibly death.

  4. Crime
    The trusting nature and physical vulnerability of most older adults makes them prey to criminals. Most often, they’re the targets of burglary, robbery and fraud, according to the Department of Justice.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Talk about home safety with your loved one

Your loved one may take your concern as a sign of distrust or a threat to their independence. Approach the subject of home safety with sensitivity.

  • Talk in person. A face-to-face conversation will help you understand the emotion behind what your parent is saying.
  • Open with a question. Examples:
    • What are your goals for living at home comfortably in the coming year?
    • Is it easy enough to get everywhere you want to go in the house?
    • What can we do together to make you feel safe in your home?
  • Listen with an open mind.
  • Acknowledge and appreciate their feelings.
  • Calmly voice your concerns for their home safety.
  • Reinforce your support for their choice to live independently and safely.
  • Involve them at every stage of the process.
  • Remember that unless you are a designated agent, the ultimate authority for these choices belongs to your loved one, not you.
  • End on an optimistic note.

Spot hazards in every room

What might seem like a non-issue in your household may not translate to a safe environment for older adults. Take a moment to conduct a thorough walk-through of each room, putting yourself in the shoes of your loved one. Consider potential hazards and ensure that every corner of the home prioritizes their safety and well-being. This simple yet thoughtful exercise can uncover areas for improvement, making certain that the living space is not only comfortable but also optimized for the specific needs and challenges your loved one is facing.

Keep in mind:

  • Cataracts, glaucoma and medical conditions like diabetes blur vision. Nighttime vision becomes more difficult as we age.
  • Hearing loss can affect the ability to respond to alarms.
  • Loss of muscle mass and weakness cause balance problems and mobility issues.

As you walk from room to room, make a list of what needs to be modified or fixed to promote accessibility and home safety for older adults.

Make senior home safety modifications and repairs

This list will alert you to common household fixes. If you’d like expert help, contact your local Area Agency on Aging for a referral or you may want to hire a certified Aging in Place Specialist through the National Association of Home Builders.

Exterior

  • Put brighter lighting throughout the property.
  • Install a home security system.
  • Stabilize railings on both sides of the stairway.
  • Clear leaves and debris from walkways.

Stairs

  • Put down nonslip stair treads.
  • Add sturdy hand railings to both sides of the steps.
  • Put in a stair lift if needed.

Kitchen

  • Keep often-used items in easy reach.
  • When replacing appliances, buy ones with auto-shutoff features.
  • Keep fire-resistant potholders by the stove.
  • Store towels, paper towels and anything flammable away from the stove.

Bathroom

  • Mount grab bars near the toilet and in the shower or tub area.
  • Add a nonslip mat on the tub or shower floor.
  • Put a bath bench in the shower or tub.
  • Use nonslip mats around the bathing area.
  • Replace low toilets or toilet seats with higher ones.

Bedroom

Change the bed height to make it easy for your loved one to get in and out.

  • If the bed is too low, place bed risers under the bed legs to add height.
  • If the bed is too high, remove the bed frame or use a thinner mattress.

Maintenance

Stop a problem before it happens by:

  • Having the furnace, air conditioner, and thermostat serviced regularly.
  • Replacing the smoke and carbon monoxide detector batteries once a year.
  • Setting the water heater thermostat to 110 degrees or lower.

Download a Home Safety for Older Adults Checklist.

Find innovative technology solutions that promote home safety for older adults

Senior controlling a smart home app on tablet

Even though most devices are designed to be intuitive and easy to use, your loved one may struggle to understand how the technology is intended to be used. Start small and include your loved one in the shopping process.

Decide which senior home safety systems will give you and your loved one peace of mind:

  • A smart home hub will respond to voice commands to operate lights, thermostats and appliances.
  • Wearable medical alert devices give older adults a sense of security and independence, knowing they can get help with the push of a button. Besides connecting to emergency responders, these services will contact designated family members and caregivers. Some devices include GPS tracking so you can monitor the location of your loved one if they tend to wander.
  • Home security systems with motion sensors detect intruders as well as human falls.
  • Subscription services like Alexa Together let you keep tabs on your loved one’s health status and activity.

Financial assistance is available for home safety for older adults

When it comes to home safety for older adults, we all want to give our best, but the expense can limit what we can do.

The federal government offers a variety of programs to help with the cost of senior home safety repairs.

  • A homeowner can withdraw a portion of their home equity through a reverse mortgage. The Home Equity Conversion Mortgage is available through lenders approved by the Federal Housing Administration (FHA). The U.S. Department of Veterans Affairs (VA) offers a variety of grants and loans.
  • Depending on the state, Medicare and Medicaid recipients may get help for modifications deemed medically necessary.
  • Nonprofit agencies have home modification assistance programs. Research financial aid and volunteer labor through organizations like Rebuilding Together.

For more information, read the recommendations in Home Modifications for the Elderly: Loans, Grants & Financial Aid.

Whether you go for simple fixes or comprehensive solutions, a proactive room-by-room approach can stop a life-threatening injury from happening. Starting with an open, honest discussion and locating financial resources to fund your plan, you can confidently improve home safety for older adults.

When your loved one wants to continue living in their familiar home, you can help them make their dream a reality. Boost their independence and confidence (and your peace of mind) by making sure their home is as safe as possible.

May 08, 2024 | Senior Living | by hawthornseniorliving

Talking to Your Parents About Senior Living Options

You’ve been worrying about your aging parents for a while now. You may even wake up at night wondering how you can start the conversation about senior living options. Because you love them, you want them to live their senior years to the fullest. Finding the right words to talk about this delicate topic can be difficult.

However, by embracing this discussion with optimism and foresight, we open doors to informed choices and fulfilling experiences. Let’s reshape the conversation to highlight the empowering nature of proactively exploring these options.

In this article, you’ll find effective, practical tips to help you share your concerns and calm your parents’ fears about finding senior living options that work for them. Using an empathetic communication strategy, you can advocate for a lifestyle that supports their well-being, safety and independence while preserving your loving relationship and their dignity.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Is it really the right time to talk about senior living options?

No one knows your mom or dad better than you. Look for these five signs:

  1. Memory issues. They’re missing appointments and not taking their prescribed medications. Bills aren’t getting paid, and other important matters are left to slide.
  2. Mobility issues. Moving around has become difficult, and your loved one is unable to care for their home inside or out.
  3. Emotional issues. Your mom or dad is quieter than usual or experiencing mood swings. They’re not socializing like they used to or pursuing hobbies that once gave them joy.
  4. Hygiene issues. You notice that they’re not bathing or brushing their teeth enough and wearing dirty clothes.
  5. Nutrition issues. Mealtime is made up of junk food or skipped altogether.

These changes in your parents’ daily routines could be signs of a bigger issue. They may be struggling with physical limitations, memory loss or even depression. Senior living communities can provide a safe and supportive environment with assistance for daily tasks, social activities to combat loneliness, and health care professionals readily available.

These signs may indicate it’s time to explore senior living options, but remember, this isn’t a single conversation. It’s a process that may take time to open communication.

Talking about senior living options isn’t a one-time conversation.

If someone suddenly told you that you had to change your lifestyle and move to a new place, you’d feel afraid – and who wouldn’t? But for your parent, it’s not just a fear of radical change. How much more afraid would you be if you’d been fed years of horror stories about these locations and the lifestyle they inflict on the poor people who end up there?

You would be understandably apprehensive, and your parents likely do have a very distorted image of what life is really like in a modern retirement community.

No longer are 55+ communities like the “old folks’ homes” of yesteryear. When you visit an independent or assisted living community, you’ll see people socializing, laughing, dining together, taking classes and enjoying their hobbies. Communities are designed to promote mobility, safety and personal independence. State-of-the-art emergency alert pendants and building security systems offer support and peace of mind.

Group of seniors smiling

How do I talk to my parents about senior living options?

Plan on having this discussion multiple times.

  1. Prepare yourself. What level of care is needed? Familiarize yourself with communities and in-home caregivers near you. Gather brochures, including activity calendars, from several local 55+ communities.
  2. Pick the right time and place. Block out ample time, and choose a quiet location where it’s unlikely you’ll be interrupted. Sitting together with a cup of coffee or tea sets the scene for a heart-to-heart.
  3. Begin with an open-ended question. “Is it stressful taking care of the house?” “Do you feel safe here?” “Does it get lonely living by yourself?” “What are the things that worry you most?”
  4. Listen more than talk. Although you feel like you’ll need to say a lot to convince your loved one to start considering senior living options, the truth is you don’t. You’ll accomplish more by actively listening to them.
  5. Acknowledge their feelings. Don’t diminish your parent’s thoughts and fears. They’re as real as your concerns. Empathetic communication requires a calm voice and demeanor. Let them know how much you want them to enjoy life while being cared for and staying safe.
  6. Keep your language positive. Fear tactics won’t work. Describe their future with optimism while sharing what you’ve learned about senior living communities.
  7. Involve family and friends.Pick the ones who can speak with love. Even a trusted doctor can participate. It’s important to strike a balance and avoid overwhelming your parents with too many opinions at once. Asking too many people may make them feel like they’re being caught off-guard.
  8. You’re all in this together.Visit senior living communities or interview in-home caregivers together.The final choice belongs to Mom or Dad.

What do I say if they object?

Emotional issues make it easy to spiral into anger when people disagree. Stay focused on their needs and the benefits of senior living.

If they say…Your response…
“I can’t afford it.”“I’ve found some pretty affordable options around here, but let’s only consider those in your price range. If you’d rather, we can ask a financial planner. There are programs that may help with the costs, and we can research those together.”
“I don’t want to sell the house that I raised my kids in.”“Wouldn’t it be nice if a young family moved in here? They’d be happy just like we were.”
“People leave you to die in old folks’ homes.”“Times have changed, and there are lots of senior living options nowadays. Let’s go see your friends who have already made the move. We can take tours so we’re certain you can find the one you like.”
“I’m not ready.”“I’m concerned that if you were suddenly unable to live independently, you’d have to make a lot of decisions quickly under pressure. I want you to choose the place you’d like to live.”
“I’m not getting rid of my dog/cat.”“Many senior living communities are pet-friendly. We’ll put that on our list of must-haves.”

You did it! Your parent agrees. Now what?

Visiting 55+ communities can be a fun day out for you and your parent. There are so many exciting senior living options to choose from today. You’ll get a tour, see apartments, and have a chance to meet the staff and residents. In most places, you’ll be invited to share a meal and take part in an activity. You may even schedule a short stay so mom or dad can try it out.

You did it! But they still don’t agree. What next?

You’ve had open conversations, explored senior living options together, and addressed their initial concerns, yet your parent remains hesitant. It’s important to acknowledge that this is a significant life change, and it’s okay if they need more time to adjust to the idea.

Here are some additional approaches to consider:

  • Focus on positive experiences. Perhaps they enjoyed a specific activity or meal during a community visit. Highlight those positive experiences and encourage them to imagine incorporating those things into their daily life.
  • Deepen understanding. Take time to delve deeper into your parent’s reservations. Try to understand if there are underlying fears, past experiences or unspoken concerns that are contributing to their reluctance. Open and honest conversations can provide valuable insights.
  • Consider a trial stay. Many communities offer short-term stays. This can be a great way for your parent to experience the environment firsthand and see if it feels like a good fit.
  • Seek professional guidance. A senior care advisor can provide objective information and support throughout the decision-making process. These professionals can offer personalized guidance, facilitate family discussions and provide additional resources to address complex emotions and challenges.

Remember, patience and open communication are key. Continue to listen to your parent’s concerns and work together to find a solution that meets their needs and makes them feel comfortable and in control. There may not be a one-size-fits-all answer, but with time and exploration, you can find the best path forward for your entire family.

Looking for more help?

Try these resources:

  • The Eldercare Locator is a public service that can connect you with services for older adults and their families.
  • BenefitsCheckUp is a resource from the National Council on Aging that can point you to benefit programs that help with the cost of health care, food, utilities and more.
  • Downsizing the Family Home Workbook, a resource published by AARP, is filled with checklists and tips to get you through the transition. AARP also offers helpful webinars and events on a variety of topics for older adults.

Empathy. Positivity. Planning.


The first conversation may feel awkward, but you’ll gain confidence knowing you’re doing the right thing for the right reason. Equipped with an empathetic communication strategy and realistic knowledge of today’s senior living options, you can gently dispel your parent’s fears and slowly steer them toward a brighter future.

Best of all, without all the stress of taking care of an aging parent, you can spend your time enjoying each other’s company without all the worry.

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May 01, 2024 | Safety/Disasters/Pandemics - Senior Living | by hawthornseniorliving

Evaluating Senior Safety and Security Systems

Older adults have a variety of great reasons for moving into a senior living community. Among the many benefits, senior safety and security is at the top of the list.

While falls and accidents are risks for anyone, adults aged 65 and older face an increased likelihood. According to the Centers for Disease Control and Prevention (CDC), more than one in four older adults report falling each year, making falls the leading cause of injury and injury-related deaths within this age group. This stark reality underscores the crucial role that prioritizing safety plays in senior living communities.

Home may be where the heart is, but it’s also the place where accidents happen most often. Household activities and clutter can easily put someone off balance. If that person is living alone, it’s difficult to call for help. And the senior safety concerns go on: kitchen fires, medication errors, driving accidents, crime.

No wonder family members worry so much about the safety and security of their loved ones living alone. Without the safety systems found in a senior living community, the risk of injury is higher. As families explore senior living options, ensuring a safe and secure environment is paramount. From emergency response protocols and surveillance technology to staff training and facility design, we’ll explore the comprehensive measures that contribute to the well-being and peace of mind of residents and their families. Learn key considerations as we provide valuable insights for making informed decisions when it comes to selecting a senior living community that prioritizes the safety and security of its residents.

Senior safety in home versus senior living graphic
Senior safety factors - car accidents and nutrition
Fire safety chart

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Evaluating senior safety systems

Whether you’re looking for an independent or assisted living community, you’ll want to know everything you can about their safety measures. To help you make an informed choice that will give you and your family peace of mind, look closely at these five key areas of a community’s senior safety systems:

  • Convenience services
  • Emergency response practices and protocols
  • Surveillance technology and monitoring
  • Staff qualifications and training
  • Design and safety features

Convenience and peace of mind

To begin understanding the senior safety and security features of community living, let’s start with the role of convenience. Most senior living communities operate on the concept of convenience as a core value. You get a comfortable living arrangement with less of the hassle of ownership and living alone.

But in addition to living a vibrant life with less stress, you eliminate the very real risk of injury normally associated with home maintenance and repair activities. Simply embracing a life with more convenience means you have to take less personal risk on a day-to-day basis.

senior woman and female staff member smiling

Emergency Response Protocols

Every senior living community should be in compliance with their state’s emergency preparedness guidelines. The guidelines cover:

  • Preparing for natural disasters, fire, infectious illness outbreaks and more
  • Risk assessment
  • Communication plans

When you visit the building, look for fire and smoke alarms, fire extinguishers, an indoor sprinkler system, and well-marked exits. You should also see floor plans posted with the locations of stairways designated as the emergency exits. Exits with wheelchair access should also be highlighted.

Questions to ask during your community tour:

  • How often are evacuation drills and emergency training held for residents and staff?
  • How do you alert residents and family members in case of an emergency?
  • What procedures did you put in place during the COVID pandemic?
  • How are staff trained to protect residents in case of an emergency?
  • Do you have a generator or other form of backup power?
  • Where do people who need mobility assistance go for help in an emergency?

Surveillance Technology and Security

Technology has added an exciting new dimension to senior safety and security. The alerts from these devices give staff the ability to respond quickly when a resident needs help.

Personal emergency response systems allow residents to call for help with the touch of a button. Worn as a necklace or bracelet, these wearable alert devices connect to a round-the-clock monitoring system. Immediate help can be quickly deployed for medical emergencies, accidents and other urgent situations. Other security systems are hands-free, using voice commands instead.

senior hands pressing safety alert button

Another wearable device helps staff locate residents in need of assistance. This tracker is especially useful for older adults diagnosed with cognitive difficulties like dementia who tend to wander. As the person approaches an exit door, the device will set off an alarm so caregivers can quickly respond to the right location.

Wireless motion sensors placed in a resident’s apartment detect activity and provide for remote daily check-ins. With these monitoring devices, older adults feel safe without sacrificing privacy or independence.

Both indoors and outdoors, security cameras and lighting keep the property and people safe.

Questions to ask during your community tour:

  • Can you demonstrate how this senior safety device works?
  • What happens if your phone system or internet access is down?
  • Are there alarms in each apartment?
  • How are doors monitored after hours?
  • Do residents have to sign out? Are visitors required to check in?

Staff Qualifications and Training

Different communities may have different requirements regarding staff qualifications and training. But inside any senior community that is actively working to put your safety and security first, each department should receive annual safety and security training covering emergency response procedures, resident safety protocols and security measures.

You’ll probably get a feel for how professional, efficient and friendly the staff is from your very first interaction. Do your best to meet and talk to as many employees as possible before deciding to move. You may find you hit it off immediately, or it may take a few visits before you can evaluate and judge.

Questions to ask during your community tour:

  • Do you have staff available 24/7?
  • How often is staff trained on senior safety and security?
  • What is your staff-to-resident ratio?
  • How do you handle staff turnover?
  • How do you cover staffing if someone takes the day off?
  • What are your procedures for background checks?
  • Where/when are emergency drill schedules posted?

Community Design and Senior Safety Features

Equipping a private home with senior safety features is costly and can lower the resale price, but these should be standard in every community you consider.

To support independence, increase accessibility and minimize the risk of falls, buildings should have:

  • Security door locks
  • Wide, well-lit doorways and halls
  • Slip-resistant flooring
  • Safety locks to places like pools and spas
  • Grab bars in the bathrooms
  • Raised toilets
  • Bright outside lighting

Questions to ask during your community tour:

  • Do you have people on staff that maintain the building?
  • If something breaks in a resident’s apartment, who do they tell?
  • How do apartments’ safety features differ based on levels of living (independent living, assisted living, memory care or skilled nursing)?

See things for yourself

All senior living communities are licensed and inspected by the state. Whichever community you’re considering, schedule a tour, and go back two or three times. Ask for a copy of their latest state inspection report. Bring a notebook and your list of questions. Download this Evaluating Senior Safety and Security List.

Older adults deserve to live in comfort, safety and security.

You’ll learn a lot each time you tour a senior community. By focusing your attention on the emergency response practices and protocols, surveillance technology, staff qualifications and training, plus their design safety features, you can make an informed decision and rest easy, knowing your loved one is safe. Make senior safety and security systems a priority in your search for a great place to live.

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April 24, 2024 | Levels of Care - Senior Living | by hawthornseniorliving

Continuing Care Retirement Communities: Are They Right for You?

Embarking on the journey of retirement often prompts a series of important decisions. One of the biggest – and most exciting – decisions you will make is where to spend your retirement. If you’ve thought about senior living and have been doing research, then you know there are many options. Finding the ideal senior living arrangement is a significant step, and the landscape is rich with choices. But which one is right for you? As you research, you’ll discover continuing care retirement communities (CCRCs), sometimes called life plan communities.

To help you evaluate your choices, you’ll need to understand what continuing care retirement communities provide along with an idea of their costs and contract obligations.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in Independent and Assisted Living communities, our goal is for YOU to find your best path to gracious retirement living. Part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

What is a continuing care retirement community?

CCRCs are designed with a comprehensive approach, aiming to provide residents with a continuum of care that evolves to meet their changing needs. The allure lies in the promise of a supportive environment where individuals can age gracefully without the need to relocate as their health needs shift. A CCRC provides living arrangements that ranges from standalone homes, townhouses and apartments to private or semi-private rooms.

With almost 2,000 CCRCs across the country, these communities provide independent living, assisted living and skilled nursing care, all within one community.

Continuing care retirement communities are ideal for:

  • Individuals looking for a comprehensive long-term living situation with a variety of options now and in the future
  • Couples whose spouse or partner requires a different level of care

Understanding CCRCs

  • Choice of housing based on availability
  • Meal plans
  • Recreational and social activities
  • 24-hour security
  • Transportation
  • Housekeeping
  • Building modifications to promote accessibility and mobility
  • Emergency help

What is a continuum of care?

A continuing care retirement community has a continuum of care. This simply means that a CCRC can provide different levels of senior care services based on community availability as well as each resident’s physical needs and abilities.

What are the different levels of care?

Independent Senior Living

This maintenance-free lifestyle comes with a variety of housing options: standalone homes, townhouses, condos and apartments. Community dining, services and recreational activities are geared to the interests of older adults. Independent senior living is ideal for individuals who require little to no assistance with daily living tasks.

Two senior men working in a garden

Assisted Living

Assisted living services encourage independence but offer a higher level of support. Older adults in assisted living receive all the services provided in independent living plus:

  • Help with the activities of daily living (dressing, bathing, walking, toileting)
  • Medication reminders
  • Personalized care plans

Memory Care

This level of senior care refers to a specialized type of long-term care that is designed to meet the unique needs of individuals with Alzheimer’s disease, dementia and other memory-related disorders. Memory care programs are specifically tailored to provide a safe and supportive environment for individuals experiencing memory loss.

Skilled Nursing

Skilled nursing care is the highest level of care in a CCRC and is designed for individuals who require 24-hour medical care and assistance with all activities of daily living. Residents in skilled nursing care typically have their own rooms and receive care from a team of health care professionals, including nurses, therapists and social workers. Skilled nursing staff can administer:

  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • IV therapy
  • Post-stroke, after-surgery and cardiac care

What are the benefits of a continuing care retirement community?

CCRCs offer a range of benefits that can make them an appealing option for older adults who are looking for a secure and supportive place to retire. While CCRCs offer the same benefits as other senior living arrangements, they do offer their own unique advantages, including:

  • Levels of care. CCRCs provide a continuum of care, ensuring that residents have access to the appropriate level of support as their needs evolve. This can be a significant source of peace of mind for both residents and their loved ones, knowing that care is readily available if needed.
  • Access to health care services. CCRCs typically have health care services available on-site, including assisted living and skilled nursing care. This means that residents can receive necessary medical care without needing to leave the community. This can be a major convenience, especially for older adults who may have difficulty managing multiple care arrangements.
  • Aging in place. Residents can age in place within the same community, promoting a sense of familiarity and continuity. This is especially beneficial for couples or individuals who want to stay together even if one partner requires a higher level of care.
  • Predictable expenses. CCRCs typically require an entrance fee and monthly fees, which cover the cost of future care. This can provide peace of mind for residents knowing that their long-term care expenses are covered.

How much do CCRCs cost?

A continuing care retirement community costs more than other senior living choices. You’ll be charged an entry fee and monthly expenses based on services. These prices vary depending on the geographic location and your lifestyle.

Understanding the financial structure of CCRCs

The entrance fee, also known as buy-in fee, will secure your place in the community. Your buy-in fee pays for your ability to move from one care level to another. This amount also goes into maintaining and improving the buildings. Across the country, the buy-in fee can range anywhere from $40,000 up to $2 million. The national average is $414,722.

Monthly expenses cover amenities and services (meals, maintenance, housekeeping, activities and events, plus personal assistance as needed).

How much should I budget for monthly fees?

In 2021, the average totalled $3,555 per month. However, these costs have been rising by 4% or more per year.

How can I finance the entrance and monthly fees?

Many people use the profits from selling their home to finance the entrance fee. While waiting for those funds, short-term home equity loans and bridge financing are available. In some continuing care retirement communities, the entrance fee can be partially refunded based on how long the resident lives there.

Once you’ve secured housing in a CCRC, there are also ongoing monthly fees to consider. These ongoing expenses can be covered by a variety of sources.

Retirement income from Social Security, pensions and retirement savings can be a steady source of income for these costs. Long-term care insurance can also play a role. Many policies offer daily or monthly benefits to help cover assisted living or nursing care expenses within the CCRC.

Health savings accounts (HSAs) offer another financing option. Funds accumulated in HSAs can be used for qualified medical expenses, including some long-term care costs. Medicare and Medicaid can also be potential resources. While Medicare generally doesn’t cover long-term care, Medicaid may offer assistance, depending on your income and assets. It’s important to explore eligibility requirements carefully.

Remember: The best financing option for you will depend on your individual financial situation, risk tolerance and long-term care needs. Consulting with a financial advisor can help you create a personalized plan for managing both entrance fees and ongoing monthly costs in a CCRC.

Understanding a CCRC contract

As you visit continuing care retirement communities, you’ll notice some differences. One of these is the type of contract you’ll need to sign.

Buy-in contracts come in three forms and determine the amount you’ll pay as an entrance fee.

  1. Extensive life-care contract (Type A). Assisted living, along with medical and nursing care will be provided at no extra cost to you. You are prepaying for health care services that you may, or may not, need in the future.
  2. Modified contracts (Type B). You’ll receive medical services for a limited time and up to a certain dollar amount. If you need more care in the future, your costs will rise.
  3. Fee-for-service contracts (Type C). This is a pay-as-you-go model, and while this is the least expensive entrance amount, the monthly fees can add up.

Like any legal document, contracts are complicated. If you choose a CCRC, read your contract thoroughly or ask the advice of a legal professional. Make sure you are fully confident in your decision and understand the contract before signing.

Three factors to consider before choosing a CCRC

  1. Financial. CCRCs can be a significant financial investment. Carefully consider your budget and whether you can afford the entrance fee and monthly fees. Consider consulting a financial advisor for personalized guidance.
  2. Health Needs. Assess your current health status and anticipate any potential future care requirements. If you foresee needing assisted living or skilled nursing care, a CCRC can provide a seamless transition and peace of mind. However, if you prefer to manage your own care arrangements, a CCRC may not be right for you and other senior living options may offer a more tailored fit.
  3. Personal Preferences. Assess your desired level of independence, social engagement and amenities. CCRCs offer a range of activities and services, but it’s essential to ensure the community aligns with your interests and personality. Think about your preferred living environment, the type of activities you enjoy and the overall atmosphere you seek.
  • Do you get a good feeling from the community after a tour?
  • Is the location close enough for your friends and family?
  • Is the environment enriching? Do you see a lot of activity?
  • Did you get a warm welcome from staff and residents?
Continuing Care Retirement Community cost comparison graphic

Unsure if a Continuing Care Retirement Community (CCRC) is the Right Choice?

Thinking ahead about your retirement living situation is a smart decision that can greatly benefit your future. While CCRCs offer a continuum of care and peace of mind for many seniors, it’s essential to explore all your senior living options before making a decision.

Choosing a CCRC is a significant commitment, both financially and emotionally. It may not fit every budget or lifestyle preference. Fortunately, CCRCs aren’t the only option available. Independent living communities provide an attractive alternative, offering an enriching lifestyle with amenities, services and activities for adults. Unlike CCRCs, independent living communities don’t require residents to have additional support or care on-site, providing freedom and flexibility while still fostering a sense of community.

Our blog post dives deeper into the comparison between independent living and CCRCs, offering clarity and guidance as you begin your senior living journey. Explore how these options align with your needs, preferences, and budget considerations to make an informed decision that sets the stage for a fulfilling retirement lifestyle.

Make an informed decision

Every question you ask and all the research you do is important. Understanding your senior living options takes you one step closer to a happier, more fulfilling life. A CCRC is just one type of retirement community among many others. By knowing what’s important to you and the financial impact of your decision, you can relax and get the most out of your retirement years.

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March 06, 2024 | Health & Wellness - Levels of Care | by hawthornseniorliving

10 Questions Older Adults Should Never Skip at Their Doctor’s Visit

As we get older, our health remains our most precious asset, especially as we approach retirement. Open and informative conversations with our health care providers become increasingly valuable in ensuring that we can live healthy lives filled with vitality and joy. By asking the right questions, we can better understand our health and act to manage any problems. 

Embrace open communication with your health care provider – think of them as your partners in safeguarding your well-being. Engage in conversations that foster trust and understanding.

Don’t hesitate to ask questions, no matter how simple or complex they may seem. Remember, there are no silly questions when it comes to your health. If you’re not sure where to start, here are 10 important questions to ask your doctor during your next appointment. But first, a couple of tips.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in Independent and Assisted Living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Disclaimer: The content provided in this blog is not intended as medical advice. It is for general informational purposes only. Remember to consult with a qualified health care professional for personalized medical guidance and recommendations. Always seek the advice of your health care provider before making any health-related decisions.

Regular doctor visits are important to your health

Take a tip from Ben Franklin: An ounce of prevention is worth a pound of cure. Even if you feel fine, make regular checkups part of your regular routine. Too many of us put off that doctor visit until symptoms start or worsen. Use your Medicare Part B coverage to get an annual wellness exam.

Be open and honest

The doctor-patient relationship is an important one. Direct communication is key.

When you say how you’re feeling and what you’re experiencing, you’re making the doctor’s job easier. The more information they have, the better chance you have of getting an accurate diagnosis and treatment. Write notes and maybe even rehearse what you want to say beforehand.

Be truthful about your medical history and symptoms, even if they seem embarrassing. Doctors have likely heard it all before.

Five Effective Communication Tips

  1. Don’t be shy. Give your doctor all the details.
  2. Be truthful. Don’t minimize or overstate your symptoms.
  3. Be clear and concise.
  4. State your preferences. Ask for more options if needed.
  5. Repeat or rephrase your message if you don’t feel heard.

10 questions to ask your doctor

  1. Should I be concerned about any health risks?

    This question opens the door to a conversation about your current health and what you should be looking out for in the future. We all want to know if any aches, pains or other symptoms are causes for concern. Review the results of screenings and blood tests, focusing on any readings outside the normal range. 

  2. What health screenings and tests do I need?

    At a routine exam, doctors will check your body mass index (BMI), skin conditions, cholesterol and blood pressure. You may also be due for various cancer screenings. Based on your age, lifestyle and current health, your doctor will recommend the right health screenings for older adults.

    This is a good time to bring up your family history. You should mention heart disease, cancer, strokes and many other conditions that run in the family. You may be a good candidate for genetic testing that can uncover certain risks.

  3. What are the side effects of my prescribed medications?

    Discuss medication management with your doctor and pharmacist. If you are already experiencing side effects, ask the doctor for a different dosage or prescription.

    Older adults often have a team of health care professionals prescribing medications. Give each doctor your list to prevent unforeseen drug interactions. Check if any of the medications can be eliminated and if the vitamins or supplements you’re taking interfere with a drug’s effectiveness.

  4. How can I manage my chronic conditions?

    If you’re dealing with chronic medical conditions, see your primary care physician or specialist often. Discuss ways to monitor and manage your symptoms between visits. Your doctor can also advise you on lifestyle changes that could improve your daily life. 

  5. What lifestyle changes can improve my health?

    You probably already know the answer to this question. However, when a doctor confirms it, it can give you the strength to make a positive change. They can also provide you with information from reputable sources to help you get started on making changes.

  6. Should I make any changes to my nutrition and diet?

    You’ll see lots of articles online linking senior nutrition and health. Your doctor can separate fact from fiction and share the latest research on what’s best for you and your body, or provide you a referral to a dietitian for more in-depth nutritional support.

  7. What are the best activities and exercises for me?

    Exercise goes a long way in maintaining health, but not every activity is good for everybody. Talk with your doctor or physical therapist about what you can do safely to preserve and expand your capabilities based on your physical condition.

  8. Are there any mental health or cognitive assessments you would recommend?

    As part of your annual wellness visit, your doctor will be checking for signs of depression and loss of cognitive abilities. The tests and questions are very basic, so if you believe your memory or thinking skills have deteriorated more than what is normal for aging adults, now is the time to bring it up. Your doctor will send you to a specialist in mental health services for older adults.

  9. How often should I see you or my specialists?

    That answer depends on your current health, test results and age. If you are experiencing new or worsening symptoms, don’t wait. Schedule an appointment. But a good rule to follow is always see your doctor at least once a year for your annual wellness checkup.

  10. Do you know of any resources or support that will help me manage my health?

    Medical professionals cringe when they hear that you are looking up symptoms online. Yes, there are plenty of reliable resources, but even those can cause undue concern. Your doctor and other staff members will be happy to point you to resources and groups that focus on healthy aging.

Download these 10 questions here.

If you don’t understand something, ask the doctor

Medical terms are notoriously hard to comprehend. Don’t feel foolish. Ask the doctor to repeat the information more simply. Say it back in your own words to make sure you really understand.

Change and revise your questions over time

With each visit, talk about any changes you’ve noticed in your health. Over time, your questions will be more insightful and in-depth.

Be your own advocate

If you have concerns about any health matter or treatment plan, don’t let it slide. Ask the doctor for more information, tests or alternative treatments. Getting a second opinion can be a literal lifesaver.

Set health goals and make a plan

After getting an exam and test results, you may feel overwhelmed. What to work on first? Weight? Cholesterol? Diet? Your doctor can help you set priorities so you can concentrate on the most important factors.

Get the most out of your visit

Did you know that people forget 40%-80% of medical information immediately? If you receive concerning news, your emotions take over and you’ll remember even less. To help you retain important information, follow these steps:

  • Bring a list of questions and concerns.
  • Ask a relative or friend to come with you.
  • Take notes during your appointment.
  • Repeat back information to make sure you understand.
  • Learn how to access your medical information through your health system’s online portal.

Take an active role in your health

Remember, effective communication is a two-way street. Your health care provider is there to support you on your journey toward optimal health. Prepare for your appointment by always bringing a list of topics and questions to ask the doctor. By actively participating in your care and engaging in open dialogue, you can feel better about your health and gain confidence to enjoy your retirement years.

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February 28, 2024 | Health & Wellness - Safety/Disasters/Pandemics - Tips & Tricks | by hawthornseniorliving

Fall Prevention: 4 Fall Safety Tips Everyone Should Know

Staying active and independent is what we all want, at every age. But an injury from a fall can jeopardize our health and happiness. Every year, over 3 million older adults are treated in emergency departments for injuries because of a fall. Before it happens to you or your loved one, put fall prevention strategies into action.

Although our risk increases as we age, there are plenty of practical fall safety tips that can save you from painful and costly broken bones, fractures, head injuries and strains. The suggestions in this blog will get you started in developing a fall prevention plan that works for you.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

These fall safety tips will help you steer clear of the most common causes: body weakness, home hazards, medical conditions, drugs both prescribed and over-the-counter, and unhealthy habits.

Fall Safety Tip #1: Exercise for balance and strength

Was your New Year’s resolution to get more exercise? Ease into it by talking to your health care team. Not only will they know what kind of movement and how much work is safe for your body, they can recommend fall prevention exercises that improve your strength, balance, coordination and flexibility.

Ask them for a referral to a physical therapist or an occupational therapist who can personalize a plan dedicated to your abilities and needs. Therapists work with you one-on-one to make sure that you’re doing exercises correctly and that you don’t injure yourself in the process.

Staying strong is one of the best fall safety tips, but never start an exercise program without talking to your doctor first. Many recommend tai chi, yoga and walking.

Tai Chi

Tai chi, which originated in China, combines slow, gentle movements with mindful breathing and imagery. The result is a mind-body workout that’s packed with fall prevention benefits. By focusing your attention on your body’s position, you become aware of your breath, your physical sensations and your mental processes. With regular practice, balance, power, strength, stamina, agility, flexibility, and aerobic capacity increase. There’s also evidence that tai chi enhances bone density, so if you do fall, you have less chance of injury.

Many people use tai chi for its mental benefits. Cognition, moods and focus go up. Stress, anxiety and depression go down.

Yoga

The National Institute on Aging has published findings that yoga is a fall prevention powerhouse. Physical poses, deep breathing and concentration help you strengthen the muscles that keep the body balanced. Because yoga focuses your attention on your movements, you develop stability and flexibility, along with a calmer mind and a sense of accomplishment.

It’s not too late to start practicing even for the oldest adults. While some poses can prove too challenging, chair yoga works just as well at giving you strength and balance, along with reducing joint pain. Chair yoga participants hold poses while seated or use the chair for balance when doing standing poses.

Walking

When it comes to fall prevention, the benefits of walking outpaces other exercises, even balance training. Many older adults don’t take walks due to the fear of falling, but by lessening activity, the body becomes weaker and unsteady. If you have access to a gym or community center, spending time on an elliptical puts less stress on your joints and will develop your thighs and buttocks. Walking on a treadmill does wonders for hamstrings, calf muscles and ankle muscles.

No matter where you walk, wear properly fitting, sturdy, flat shoes with nonskid soles. Canes or walking sticks provide balanced support and take pressure off one or both of your legs.

Fall Safety Tip #2: Fall prevention starts at home

About 75 percent of falls happen in the home. Little improvements make a big difference.

  • Keep the things you use most often within easy reach. If something is too high, use a reach stick or ask for help.
  • Turn on lights as you enter a room and when you’re going up or down stairs.
  • Use a night light and illuminated light switches.
  • Know where your cat or dog is resting. As wonderful as pets are, they’re easy to trip over.

Look around for potential fall hazards.

  • Clutter is often a culprit waiting to trip you up. Move boxes, electric cords, furniture, plants and anything else in a high-traffic area that blocks the paths to light switches. Clear debris from outdoor walkways too.
  • Area rugs tend to bunch up. If they don’t have slip-resistant backing, tack them to the floor or throw them away.
  • Repair loose floorboards and carpeting.
  • Get rid of bathroom hazards by using nonslip mats in your bathtub or shower. Buy a bath seat so you can sit while you shower and a raised toilet seat for easier access.
  • Clean up spills on the floor right away.

The National Association of Home Builders certifies contractors who can install these balance aids:

  • Nonslip flooring
  • Grab bars and grips
  • Handrails on both sides of indoor and outdoor stairways
  • Walk-in tubs and showers
  • Indoor or outdoor ramps
  • Wider doors and hallways for wheelchairs and scooters

Because of their training, they can recommend other improvements and fall safety tips.

Fall Safety Tip #3: Talk to your health care team

If you’re worrying about falling, talk openly and honestly to your doctor. Feeling dizzy or unsteady greatly increases your risk of falling and may be a symptom of other conditions that require treatment. Your doctor needs to know if you’re having trouble getting in and out of chairs, walking on flat surfaces or climbing stairs.

Nurse helping a resident on a ipad

Tell your health care team about any fall you’ve had – how it happened, where you were and what you were doing at the time. Even if you or somebody else caught you before you hit the ground, details like these will give your doctor the clues they need to recommend fall safety tips.

Older adults often visit specialty doctors in addition to their primary care physician. Make a list of your prescription and over-the-counter drugs and supplements. Even if you’ve been taking the same medicines for years, age can change how your body reacts to them. Your doctor will know if the side effects or interactions between the drugs are making you dizzy. Sedatives, tranquilizers, anti-depressants, antihistamines, anti-inflammatories, analgesics, blood pressure medication and other cardiovascular drugs can be the cause.

Your eyes are an important part of the picture, too. Vision impairment due to glaucoma, cataracts or wearing old prescription glasses can throw you off balance. Schedule your annual eye exam and update your glasses or contacts as your vision changes.

Understanding the Morse Fall Risk Scale

If you’re in the hospital, health care professionals use the Morse Fall Risk Scale, a simple and quick assessment tool used to evaluate the risk of falls in patients. It considers various factors that contribute to fall risk, providing a systematic approach to identifying those who may be more susceptible to falls.

Components of the Morse Fall Risk Scale

The Morse Fall Risk Scale assesses several key factors, assigning scores to each based on the patient’s condition. These factors include:

  1. History of Falling. A patient’s history of falls is considered, with more recent falls carrying a higher risk score.
  2. Secondary Diagnosis. Certain medical conditions can increase the risk of falls. The Morse Scale accounts for secondary diagnoses that may impact a patient’s stability.
  3. Ambulatory Aid. The use of walking aids, such as canes or walkers, is taken into consideration. Dependence on these aids may indicate a higher fall risk.
  4. Intravenous (IV) Therapy. Patients receiving IV therapy may have mobility limitations. The Morse Scale recognizes the potential impact of IV therapy on fall risk.
  5. Gait. Difficulty walking, including weakness, imbalance or shuffling, can increase fall risk.
  6. Mental Status. Cognitive impairment can contribute to falls. The scale evaluates the patient’s mental status to gauge their awareness and ability to prevent falls.

Interpreting Morse Fall Risk Scores

Health care professionals calculate the total score based on the patient’s responses to the above factors. A higher total score indicates an increased risk of falling.

For older adults and their families, understanding the Morse Fall Risk Scale can be empowering. It allows them to work collaboratively with health care providers to address specific risk factors. Regular assessments using the Morse Scale enable health care teams to implement personalized fall prevention measures, enhancing overall safety for seniors.

Check your risk by using the Falls Free CheckUp developed by the National Council on Aging.

Fall Safety Tip #4: Fall prevention is a lifestyle

Eat right. Feed your body the right stuff to protect yourself against broken bones. Enjoy foods with lots of calcium:

  • Milk, cheese and other dairy products
  • Green leafy vegetables like broccoli and kale
  • Tofu
  • Plant-based drinks with added calcium
  • Almonds

To help your body absorb calcium, you’ll need vitamin D. Get plenty of sunshine and eat a diet rich in:

  • Oily fish, like salmon and tuna
  • Fortified foods like milk and cereals
  • Mushrooms
  • Eggs

Your doctor may suggest vitamin and mineral supplements, too.

Start a fall prevention plan that works for you

You don’t have to do it alone. Your health care team is the best resource there is. Many states offer fall prevention workshops loaded with fall safety tips and confidence builders. You’ll find even more programs at senior citizen centers and senior living communities, too.

You don’t have to do everything all at once. Your exercise program can start small and increase as you increase stamina. When you see a hazard in your home, make the change. Improve your lifestyle one healthy habit at a time.

Even though no fall prevention strategy is foolproof, Remember these four fall safety tips.

Four Fall Safety Tips

Be proactive and protect yourself. Don’t wait for a nasty fall to happen to you. Start your fall prevention plan today.

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February 21, 2024 | Levels of Care - Senior Living | by hawthornseniorliving

What Is In-Home Care?

Home. It’s not a place – it’s a feeling. And that feeling grows stronger as we age. Three out of four adults over 50 say they want to live in their own homes as the years go on. But when daily life becomes more difficult, many find they need additional support to age in place successfully.

So the question arises: how do we make “home” work for our changing needs? Balancing independence with the need for support can be a challenge, leaving many families feeling overwhelmed and unsure where to turn. Fortunately, there’s a solution that allows your loved one to age in the comfort of their home while receiving the care and assistance they deserve. In-home care services and hired caregivers can lend support in a variety of ways, from offering simple companionship to helping with basic tasks and even providing specialized medical care.

Learn more about these options, how to find in-home care services and how to decide which one is right for your loved one. Before starting the conversation, keep in mind that aging in place requires a home that’s easy to maintain, safety features that promote mobility and prevent falls and readily available senior support network of caregivers and health care professionals.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in Independent and Assisted Living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

What is in-home care?

Home care professionals can provide occasional, daily or round-the-clock assistance. Depending on your loved one’s needs, you can hire a personal care assistant and/or a home health care professional.

Personal Care Assistants

Personal care assistants can make your loved one’s life safer and easier. These caregivers can help with everyday tasks like:

  • Bathing
  • Dressing
  • Toileting
  • Mobility
  • Cooking and eating
  • Household chores
  • Transportation
Staff helping resident out of car

Their presence in the house and friendly conversation help to alleviate the symptoms of  social isolation. But one thing these caregivers cannot provide is medical assistance. That’s where home health care comes in.

What can a personal care assistant do?

Help with the everyday things people do (activities of daily living):

  • Bathing and showering
  • Getting dressed
  • Using the toilet
  • Moving in and out of bed
  • Getting out of a chair
  • Walking safely across a room

Meal preparation:

  • Help with eating
  • Cooking
  • Going to the grocery store
  • Preparing meals and cleanup

Light housekeeping:

  • Dusting
  • Vacuuming
  • Laundry
  • Making sure the house is organized and safe

Transportation:

  • Running errands with or without the older adult
  • Door-to-door service to the doctor and other appointments

Money management:

  • Tracking and paying bills
  • Filling out health insurance and other forms

Pet care:

  • Feeding and watering
  • Dog walking

Home Health Care

If your loved one requires frequent medical assistance due to chronic conditions or is recovering from surgery, an accident, illness, stroke or heart attack, their doctor will recommend in-home health care. Because these caregivers are specially trained and certified health care professionals, they can administer treatments available in skilled nursing facilities.

When should I consider in-home care for my loved one?

It’s a natural concern, and there’s no one-size-fits-all answer. However, some signs that your loved one might benefit from additional support include:

  • Noticeable weight loss may mean they aren’t eating right.
  • Decreased mobility and frequent falls are causes for alarm.
  • Forgetfulness, while sometimes a normal part of aging, can be the source of missed medications, inattention to bill paying, wandering and safety issues.
  • A messy appearance and lack of personal hygiene can come from depression or the inability to maneuver in the bath or shower.
  • Unsafe driving caused by vision problems, slowed reaction times, diabetes or dementia are big red flags.
  • Certain health conditions require frequent monitoring and treatment.

What can an in-home health care professional do?

  • Monitor general health
  • Take vitals such as temperature, heart rate, blood pressure and respiration
  • Pain control
  • Wound dressing and care
  • Intravenous therapy and IV insertion
  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Ostomy care

What are the advantages of in-home care?

Emotional Benefits

A dedicated caregiver is so much more than the help they provide. They provide peace of mind to family members who know their loved one is getting personalized attention and support. Family caregivers need respite from their responsibilities. Hiring in-home help takes the worry and guilt off your shoulders.

Social isolation affects older adults both emotionally and physically. Seeing an in-home caregiver come through the door can bring a sigh of relief. That person is a welcome companion to an older adult who looks forward to conversation and a friendly smile.

Nurse helping senior with hand therapy

Older adults as well as their caregivers enjoy a higher degree of safety, security and independence when receiving in-home care.

Physical Benefits

Receiving frequent personalized medical attention promotes better health outcomes than waiting for care between doctor appointments. Patients heal more quickly if resting in the comfort of their familiar homes. Consistent nutrition boosts overall health.

Cost Benefits

Throughout the U.S., the average cost of personal assistance care is $4,957 per month. In-home health care is higher, averaging $5,148 every month. The cost of care will vary, depending on where you live. As expensive as these services seem, you will be paying less than if your loved one was living in an assisted living community or a skilled nursing facility.

If a doctor prescribes home health care and a senior has Medicare Part A (hospital insurance) and/or Part B (medical insurance), Medicare will cover eligible costs. Veterans can finance in-home care from their Aid and Attendance benefit.

What are the downsides of aging in place?

Even with the best in-home care services, aging in place has its disadvantages. Here are four drawbacks that people report most often.

  1. Home maintenance

    Keeping up a home is costly. Appliances, roofs, furnaces and air conditioners wear out and take time and effort to replace. Whether these repairs are planned or unexpected, the bills add up. Property taxes tend to increase every year, too.

  2. Home modifications

    Installing safety features improves accessibility but can drain finances. Start by correcting any problems like loose railings or steps, uneven floors and cluttered pathways. The National Association of Home Builders certifies contractors who can install:
    • Nonslip flooring
    • Grab bars and grips
    • Walk-in tubs and showers
    • Ramps
    • Wider doors and hallways for wheelchairs and scooters

      While these changes make it easier for your loved one to age in place, they may make the house harder to sell and affect its value.

  3. Social isolation

    The time between in-home caregiver visits leaves plenty of hours of being home alone. The Centers for Disease Control (CDC) warns that social isolation carries health risks for older adults. Studies indicate that an older adult has a higher chance of depression, heart disease, stroke or dementia if they are persistently lonely. Many people look into senior living as a healthier alternative.

  4. Caregiver reliability

    Finding the right personality fit between a care recipient and their caregiver can take a while. Getting in-home health care workers up to speed on your loved one’s medical conditions takes time too.

    Job websites report average salaries for in-home care workers start at about $17an hour. Unfortunately, this leads to a high turnover in staffing. Because of that, home visits may be delayed and rescheduled. Frequent changes in caregivers can threaten your loved one’s sense of security, and strangers may frighten people diagnosed with dementia.

How can I find the best in-home care services?

Talk to people you trust.

  • Word of mouth. Extended family, friends and neighbors are dealing with these challenges more often than you may think. One of them may be willing to take on the tasks of being a personal care assistant or can point you to reliable people or agencies.
  • Health care teams and hospital staff. Doctors, nurses and hospital social workers are excellent sources for informed referrals.
  • A geriatric care manager.
  • Home care agencies.
  • Places of worship and charities.
  • Your local area agency on aging and Eldercare.
  • Community resource lists from the Alzheimer’s Association and AARP.

No matter which route you go in hiring in-home care services, proceed with caution.

  • Look for consistent answers during the interview process.
  • Ask for referrals and speak to previous clients. Don’t rely solely on online reviews.
  • Ask about their hiring process and background checks.
  • Get financial policies and lists of liabilities in writing.

Alternatives to in-home care

You’re probably seeing more adult day services in your neighborhood. These programs offer companionship, personal care, social activities, meals and exercise, allowing family caregivers to go to work and catch up on other responsibilities.

Many senior living communities welcome older adults on a short-term basis. In addition to the respite care they provide, it’s a good opportunity to test out how well your loved one could adapt to this living situation.

Assess needs

Consult this checklist to determine what kind of help you need and how many hours are required. Share your concerns honestly with the in-home caregiver.

Activities of daily living

Can your loved one:

  • Dress and undress?
  • Prepare nutritious meals and clean up afterward?
  • Shop for groceries and other necessities?
  • Get in and out of bed or a chair on their own?
  • Bathe, shower and generally maintain personal hygiene, including oral care?
  • Walk and use the stairs safely?
  • Drive or use public transportation?
  • Manage medications?
  • Keep the house clean and organized?

Mental health

Are they:

  • Forgetful to the point that safety is a concern?
  • Depressed?
  • Showing decreased interest in life, family, friends or hobbies?
  • Wandering?
  • Able to pay bills, manage insurance and legal forms?
  • Experiencing mood swings?

Physical health

Do they have:

  • Special dietary needs?
  • Chronic conditions?
  • Short-term illnesses or recovery issues?
  • Balance problems?
  • Sleep disturbances?
  • Vision or hearing problems?
  • Moderate to severe pain?

Download needs checklist here.

An in-home personal care assistant or home health caregiver can bring tremendous relief, but it isn’t the right solution for everyone. Once you understand what in-home care can offer and how their services match up to your loved one’s needs, you’ll be ready to start your search for a reliable, compassionate caregiver.

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February 14, 2024 | Safety/Disasters/Pandemics - Tips & Tricks | by hawthornseniorliving

5 Elder Fraud Protection Tips

If there’s one thing more certain than taxes, it’s elder fraud. According to the FBI, over $3 billion disappears annually from the accounts of older Americans, proving that not all disappearing acts happen on the magician’s stage. Scammers have turned targeting seniors into an art form, a not-so-funny comedy where the punchline is your compromised personal information.

Adults over 60 years old are the primary target of elder fraud, whether it’s done online, by phone or face-to-face. Some criminals are out to steal personal information like Social Security, credit card and bank account numbers. Some take advantage of your willingness to do good by posing as legitimate charities. Others promise products and services that never materialize.

By learning about online safety, protecting personal information and staying cautious about finances, you can keep yourself or someone you love from being the next elder fraud victim.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Disclaimer: This content is not intended as financial advice. Remember to review your plans and budgets with a licensed financial professional when making significant financial decisions.

It’s important to stay on your toes

Because older adults are often more polite and trusting, keeping ahead of elder fraud swindlers can be challenging. Use your common sense, and if it sounds too good to be true, it probably is.

Be Alert

It used to be easier to spot a scam. Words were misspelled, and sentences didn’t sound quite right. Now the bad guys are getting craftier, and you may not be able to tell if the call, email, text or social media invite is real or not. Take your time and investigate.

If you’re worried about your loved one, check in regularly to see who they have been talking to. Open communication can uncover information vital to elder fraud protection.

Be Proactive

Before working with a new company or organization, do your homework. The company’s online reviews may not be telling the real story. Check with the Better Business Bureau to see if they’re reputable. When someone asks you for a donation from an organization you’ve never heard of, look them up on the Charity Navigator website.

Eder Fraud protection checklist
Senior woman reviewing paperwork on couch

5 Elder Fraud Protection Tips

  1. Look out for the most common scams. And just say NO! Remember, when your caller ID says “Unknown,” it’s just a polite way of saying, “Don’t pick up, I’m trouble!”
    • Lottery scams. You may find out by phone or by email that it’s your lucky day! You’ve won a large amount of money in a contest. You probably don’t remember entering – because you didn’t. The scammer will ask you to pay a fee in advance to receive your reward.
    • Tech support scams. Out of the blue, you get a phone call, online pop-up or email from Microsoft telling you there’s a problem. To fix it, they need remote access to your computer. Beware: If you let them in, they’ll steal all your information.
    • IRS scams. The voice mail or email sounds angry and threatening. You’re told you owe back taxes and if you don’t pay them, you’re headed to jail. Or maybe they tell you you’re due a refund, in that case, they need your bank account information so they can forward the money to you. That’s not how the real IRS communicates.
    • Phone scams. Your phone rings, but you don’t recognize the number. When you answer, the fake telemarketer (maybe even a recording) will try to sell you something. Just like the lottery and IRS scam, they’ll ask you for personal information and your bank account number.
    • The Grandparent Scam. Your “grandchild” texts you to say they’re in trouble. Hearing that would panic the best of us. These con artists posing as your grandchild will ask you for bail money to be sent via a courier or electronic transfer. As a defense, many families choose a safe word that can identify the real relative from the imposter.

  2. Practice online safety.
    • Install the latest anti-virus and firewall security software to detect and block malicious content before it reaches your screen.
    • Create strong passwords for all your accounts and never share them. Passwords and PINs are notoriously hard to remember, but writing them down on a sheet of paper is a bad idea. A password manager can help. This technology tool creates, saves and uses passwords more effectively.
    • Turn on 2-step verification for your online accounts. After putting in your username and password, you will receive a code via text, voice or email to enter to prove it’s really you.
    • Check before you click. Whether a friend or stranger sent the email, avoid clicking suspicious links without checking where they lead. It doesn’t matter if it’s a long URL or a shortened one – if it’s dangerous, a link checker can tell you. These tools help by identifying compromised websites, so you can avoid potential scams and malware. Here are a few reputable sites that let you check if links are safe or not.
  3. Keep your personal information personal.
    • Don’t let your mailbox fill up day after day. Letters and statements are easily stolen.
    • Shred bills and statements before throwing them away.
    • Sign up for the National Do Not Call Registry. It’s a free service provided by the Federal Trade Commission (FTC). To put your number on the list, call 888-382-1222 or register online. Not only will this cut down on telemarketer calls, it’s also an important elder fraud protection safeguard.
    • It’s smart to say no when asked for personal information. Sharing personal data, like a Social Security number, with an unfamiliar contact is like lending car keys to a stranger. We wouldn’t trust a stranger with our car, so why would we trust them with our livelihood?

  4. Keep a sharp eye on your finances.
    • Carefully check your financial, insurance and Social Security statements to detect any changes.
    • If you haven’t already done so, choose someone you trust to be your financial power of attorney. Your financial power of attorney can pay your bills and monitor accounts if you are unable to handle these responsibilities. You don’t need a lawyer to appoint someone. Eldercare, a public service of the U.S. Administration on Aging, can help free of charge.
    • Authorize your financial institutions to contact someone you trust if they’re not able to contact you.
    • If you start receiving bills for items you did not buy or debt collection calls from accounts you did not open, you are a victim of identity theft.
    • If you suspect anything, contact your bank.

  5. Be wary of unsolicited contact.
    • Don’t answer phone calls, texts, social media messages or emails from people you don’t know.
    • You may think that responding to a security alert from the Internal Revenue Service, Medicare or the Social Security Administration is a way to act fast and protect yourself. Wrong. No matter how official those unsolicited calls, emails or texts sound, government agencies will never contact you to request or verify your personal information.

What should I do if I (or my loved one) are victim of a data breach?

Cybercriminals target companies both big and small. In case of a large data breach, the company must alert you about what personal information has been exposed and stolen.

Take these steps if you’re part of a large data breach or if you’re a victim of elder fraud:

  • Change the passwords and PINs to your bank and credit card accounts.
  • Place a fraud alert on your Experian, Transunion and Equifax credit reports. The alert will stay in effect for one year but can be renewed. Lenders processing a credit application in your name will then be able to tell that you are a victim of elder fraud or identity theft.
  • Watch for any unusual activity on your financial statements and credit reports.
  • Report individual instances of elder fraud to government authorities.

How do I report elder fraud?

Many elder fraud victims are too embarrassed to make a report. But sharing that information can help others and increase the chances of the criminals getting caught. If someone takes advantage of you, a friend or a family member, contact a government agency that will pursue these criminals. Your voice, combined with others, can dismantle these deceptive schemes and safeguard the financial well-being of countless individuals.

Report the incident to the FBI at ic3.gov. You can also call the Department of Justice (DOJ) Elder Fraud Hotline at 833-FRAUD-11 (833-372-8311).

“When criminals steal the hard-earned life savings of older Americans, we will respond with all the tools at our disposal,” says FBI Springfield Field Office Special Agent in Charge David Nanz.

If you contact the Federal Trade Commission (FTC), they will share your report with more than 2,800 law enforcers. Call 877-FTC-HELP (877-382-4357) or TTY 866-653-4261. You can also contact them online at ftc.gov/complaint.

Unless you’re in imminent danger, you don’t have to call 911. Find the dispatch number of your local police department and give them your report.

Tap into reliable resources for more advice.

The National Council on Aging website is filled with elder fraud protection advice. You’ll learn how to spot the latest scams that put you at risk. Their post Avoiding Scams and Fraud for Older Adults has in-depth, up-to-date information for older adults, caregivers and other professionals. And from helping you steer clear of health insurance fraud and Medicare scams to telemarketing and business swindles, read 22 Tips for Seniors to Avoid Scams.

Elder fraud is ever-changing, with new scams popping up all the time. Scammers are experts at pressuring you into giving out your personal information or agreeing to things that don’t seem right.

If you do find yourself the victim of elder fraud tactics, take the necessary steps to secure your accounts. If you need assistance getting this done, ask a trusted family member, friend or professional. Then help yourself and others by reporting the crime to government-sponsored agencies.

You’re not alone. Adults of all ages are targeted (and often fooled) by scammers. Take your time to research, weigh your options and make logical decisions. By staying alert and proactive, you’ll be ready to stop those fraudsters in their tracks.

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February 07, 2024 | Safety/Disasters/Pandemics - Tips & Tricks | by hawthornseniorliving

Emergency Preparedness for Seniors

Hurricanes. Tornadoes. Heat waves. Ice storms. How would you deal with any one of the many situations that require an emergency response? In addition to a cool head and quick thinking, you’ll benefit from an emergency preparedness plan that covers before, during and after an emergency or natural disaster.

Mobility impairment, medical conditions, cognitive difficulties and isolation make older adults less likely to successfully navigate these disasters. Depending on the enormity of the disaster, relief workers and first responders may not be able to help everyone right away. Even dependable support services such as caregivers, in-home health, and meal and prescription delivery may not be available during these times.

If you don’t already have an emergency preparedness plan in place for your loved one, the time to start is now. This blog will guide you through the five essentials of emergency preparedness for seniors:

  1. Understanding your risks
  2. Staying in touch and informed
  3. Creating personalized emergency preparedness plans
  4. Assembling an emergency kit
  5. Building a reliable support network

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in independent and assisted living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

1. Understand the risks

Before creating an emergency preparedness plan, it’s crucial to understand the specific risks your loved one may face.

  • Local climate and weather patterns. Research the typical weather conditions in your loved one’s area. Identify the likelihood of extreme temperatures, storms, hurricanes, floods or wildfires. Understanding these local weather patterns helps in preparing for seasonal challenges.
  • Geological hazards. Determine if the region is prone to earthquakes, landslides or other geological events. Knowing the specific risks associated with the area enables better preparation for these potential emergencies.
  • Health and mobility. Evaluate your loved one’s health status comprehensively. Consider chronic illnesses, prescription medications and medical equipment needs. Consider their ability to evacuate quickly, and identify any mobility aids or assistance required for a swift and safe departure.

Look to your local resources.

  • Determine the proximity of your loved one’s residence to emergency services, hospitals and community resources.
  • Research available community resources such as shelters, evacuation routes and designated safe areas.
  • Contact local utility companies for information about their electricity, water and gas outage procedures.
  • Get a copy of the area’s emergency preparedness and communication plans.

Check for risks inside the home.

  • Know how and when to turn off the home’s water, gas and electricity at the main switches or valves. Keep a set of tools nearby.
  • Check the batteries on smoke and carbon dioxide detectors inside the home. The National Fire Protection Association encourages homeowners to change the batteries in these devices once a year.
  • Review home insurance policy coverage. Homeowner policies do not usually cover flood damage.

2. Stay in touch and informed

Ensure your loved one has a reliable means of receiving alerts and updates. Invest in a weather radio, sign up for local emergency notification systems and familiarize yourself with community warning systems. Follow the instructions from police, fire and city officials.

Sheltering in Place

During a winter storm, pandemic, tornado, active shooter incident or similar situations, people are advised to shelter in place. That means staying home until further notice.

Evacuation Orders

In case of wildfires, floods, hurricanes and other big disasters, a mandatory evacuation order may be issued. Local, county and state officials will direct people to emergency shelters and evacuation centers.

To locate area shelters,

Communicate and Coordinate

Ensure your family and those willing to help have updated contact information. Consider keeping a list of emergency numbers easily accessible near the phone.

If your loved one has mobility problems, medical conditions and devices, or is unable to drive, the sooner you act the better. Your emergency preparedness plan should identify a neighbor or family member who can get to your loved one’s home quickly. Contact the local county registry to make sure first responders know that this older adult needs extra assistance. Consider signing up for Smart911, a public safety service that provides additional information to first responders.

3. Create an emergency preparedness

Senior woman filling out paperwork

Start with essential information.

  • Who are three capable people you can count on to act fast and help your loved one in an emergency? Decide on a phone chain, listing who is first, second and third to call.
  • Include evacuation routes and meeting points with loved ones in case of sudden emergencies.
  • Pick up multiple copies of the community’s disaster plans and evacuation routes. Store in different safe places and distribute to designated family members.
  • Where are shelters and evacuation centers located? Are they pet-friendly?
  • Explore emergency alert systems offered by local authorities and weather services. Investing in a battery-powered radio or a landline phone can be a lifesaver in case of power outages.
  • Make copies of Medicare, Medicaid and other insurance cards.

Stock up on the essentials.

  • Who can make sure the cupboards are full? Natural disasters and other emergencies may require one to two weeks’ worth of food and water for your loved one and their pet.
  • Keep a supply of over-the-counter and prescribed medications on hand.

Individualize the emergency preparedness plan for your loved one’s needs.

  • Engrave a medical ID bracelet for your loved one that lists medical conditions, medications, allergies and emergency contacts.
  • If your loved one has regular medical treatments at a hospital or clinic, find out how they operate during a disaster. Research a secondary provider if needed.
  • If your loved one doesn’t drive, who can provide transportation in case of an evacuation?
  • If evacuation is necessary, who can care for the pets?

Make your emergency preparedness plan official.

  • Write the plan down in detail. Include instructions on medication administration and how to operate lifesaving equipment and medical devices.
  • Do a run-through and practice the plan.

4. Assemble an emergency preparedness kit.

Person filling out emergency preparation checklist

Basics

  • One gallon of water per person per day plus extra for pets
  • Non-perishable foods and pet food
  • Flashlight and batteries
  • First aid kit
  • Battery-powered radio and a NOAA weather radio
  • Whistle
  • Dust mask
  • Moist towelettes, garbage bags and plastic ties
  • Wrenches and pliers
  • Manual can opener
  • Cell phone with chargers and a backup charger

Emergency supplies

  • Soap, hand sanitizer and disinfecting wipes
  • Fire extinguisher
  • Paper and pens
  • Paper cups, plates, paper towels and utensils
  • Change of clothing and shoes
  • Sleeping bag and warm blankets
  • Cash

Download an emergency supply list.

Documents

  • Contact information for relatives, doctors, pharmacies and caregivers
  • Medicare, Medicaid and insurance cards
  • Photo ID
  • A durable power of attorney and medical power of attorney
  • Local maps

You can find the full list of documents on the Federal Emergency Management Agency (FEMA) website.

Customize the kit with medical necessities.

  • At least a 3-day supply of prescription medications
  • Non-prescription medications
  • Prescription eyeglasses, contact lenses, contact lens solution and reading glasses
  • Printed list of medical conditions and allergies
  • Hearing aids with extra batteries
  • Medical equipment and devices with instructions

Keep the kit up to date by checking expiration dates every six months.

5. Build a reliable support network.

Building a support network is not just about having people nearby; it’s about fostering a community of care, collaboration and mutual assistance.

  • Family roles. Call a family meeting to discuss who does what. Make sure everyone knows what their responsibilities are and agrees to do them. Distribute house keys to everyone who will need them. They’ll also need to know where emergency supplies and medicines are kept.
  • Neighborhood connection. Get to know neighbors, and build relationships within the community. This familiarity fosters a sense of responsibility and shared commitment. Create a neighborhood directory with contact information.
  • Open communication. Establish clear lines of communication with neighbors, friends and local community members. Encourage open conversations about potential challenges during emergencies and the assistance your loved one may require. Share your loved one’s emergency plan with the support network, ensuring everyone is on the same page.
  • Emergency Contacts. Establish a clear chain of emergency contacts within the support network. Ensure that everyone knows who to contact first in case of an emergency and how to reach each other quickly.

Additional resources

You can find more information about emergency preparedness for seniors from these trusted sources:

Ready.gov

American Red Cross

The Centers for Disease Control and Prevention

Alzheimer’s Association

Emergency preparedness for seniors is a lifesaving resource.

By knowing the risks, staying informed and building a reliable support network, you can put a personalized emergency preparedness plan and kit in place and into action.

Emergency preparedness for seniors is an ongoing process. No one can anticipate every challenge, but by thinking ahead, you’ll help your loved one weather the storm with more confidence.

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January 17, 2024 | Health & Wellness - Levels of Care | by hawthornseniorliving

Advanced Care Planning: Finding Clarity Before Crisis

For many of us, discussing our health is a touchy subject. And most of us don’t want to think about the possibility of a serious condition or illness occurring. That’s why only about a quarter of American adults have a plan for their future health care.

Health care planning for the future is a journey of proactive preparation, ensuring that your well-being remains at the forefront of your decisions. It’s a process that empowers you to navigate the complexities of health care with confidence, knowing that your wishes and preferences will be respected and honored. It’s a daunting task, but it need not be approached with fear. Think of it instead as an empowering opportunity to take control of your future health and care.

You’re probably asking yourself, Where do I start? This article is a great first step and will give you the groundwork for advance care planning (ACP). By assessing needs, exploring various care options, addressing legal matters, and seeking emotional and social support, you can make informed decisions to ensure a comfortable and secure future.

Statement of Fairness: Considering senior living options for yourself or a loved one? We’re here to help at every step. And even though we specialize in Independent and Assisted Living communities, our goal is for YOU to find your best path to gracious retirement living, and part of how we achieve that is by providing reliable information on all types of senior living, not just the ones we offer. When our offerings serve as useful illustrations to a specific topic, you can find that information in the attached sidebar.

Disclaimer: This content is not intended as financial advice. Remember to review your plans and budgets with a licensed financial professional when making significant financial decisions.

What is advance care planning?

Simply put, ACP is a process that helps you make decisions about your future medical care. It involves talking to your loved ones and your doctor about your wishes and then documenting those wishes in writing, called an advance directive.

Advance directives are legal documents that tell your doctor your wishes about your health care in the event that you are unable to communicate your wishes. It states your instructions and names a health care proxy, a person whom you trust to make medical decisions for you.

Why is planning for future health care so important?

When your preferences are clearly documented in writing, health care providers and loved ones have a roadmap to follow, ensuring that your wishes are carried out, even if you are unable to communicate them directly. Without advance directive documents, state laws determine who makes medical decisions on your behalf.

That means that a family member could be responsible for making decisions about your health care. Making major medical decisions during a crisis can be emotionally overwhelming for your family and friends. They may face uncertainty about your wishes, struggle with conflicting emotions and feel pressure to make decisions that align with their own values rather than yours.

Consider an ACP as a thoughtful gift to your loved ones. By providing a roadmap, you’re sparing them the emotional burden of making difficult medical decisions during a crisis. ACP isn’t about predicting the future; it’s about ensuring your wishes are respected and your loved ones are supported.

Remember, it’s never too soon to start planning. The best time to begin is when you are healthy. Life comes at us with twists and turns, and knowing you have an advance care plan in place will give you and your family peace of mind.

How do I plan for future health care?

The answer lies in answering three fundamental questions:

  1. What are my values and goals for my future care? Reflect on your values, beliefs and aspirations for your future well-being. Consider what kind of care you envision for yourself, whether it’s maintaining independence, prioritizing comfort or receiving specialized treatment. What kind of medical treatment would you want if you became seriously ill and unable to express your wishes?
  2. What are my current and potential health needs? Assess your current health status, including any existing medical conditions, medications and limitations. Talk to your doctor about potential health concerns that may arise and how they might impact your care needs. This understanding will help you identify appropriate care options and support systems.
  3. Who do I want to put in charge to make sure my wishes are carried out if I am unable to do so? This takes reflection and discussion with family members and professionals. Once you’ve made your decisions, you’ll formalize them in two ACP documents: an advance directive and a medical power of attorney.

Step-by-Step Advance Care Planning

  1. Decide on your future care by reflecting on your values.
  2. Think about who you would trust to make medical decisions if you are unable to do so yourself.
  3. Talk with your doctors about your ACP.
  4. Create an advance directive (also known as a living will).
  5. Name a person as medical power of attorney to make health care decisions on your behalf.
  6. Give copies of your advance directive to your medical power of attorney, doctors and other family members.
  7. Review the document often and make changes if needed.

Who should be involved in my future health care planning?

Talk to people you trust. Involving the right people in your future health care planning is crucial to ensure your wishes are respected and your care aligns with your values and preferences. Your primary care physician, specialists and other health care providers are invaluable resources for advance care planning. They possess a deep understanding of your medical history, current health status and potential future needs. Engage in open and honest conversations with them to discuss your values, preferences and treatment options, ensuring that your advance care directives align with your health care goals.

It can also include:

  • Family members
  • Spouse
  • Religious leaders
  • Friends
  • Legal professionals
Woman reviewing paperwork with senior

How can I plan for future medical conditions?

Age, lifestyle, diet, activity level and family history play a role in your health.

  1. Get regular physicals and checkups.
  2. Discuss your health risks with your doctor.
  3. Many medical conditions run in the family. Genetic testing can identify whether you share the same traits.

With that knowledge and by speaking with your doctor, you’ll gain insight into what your health care needs might be.

Nurse taking seniors blood pressure

Exploring Care Options

At the heart of ACP lies a deep reflection on your values and beliefs. What matters most to you in life? What kind of quality of life do you envision for yourself? These questions serve as your compass, guiding your decisions as you explore various care options. Based on your values, would you want:

  • CPR (resuscitation) if your heart stops beating?
  • To be put on a ventilator or other artificial life support if you could no longer breathe on your own?
  • A feeding tube if you can no longer swallow?
  • Palliative care focusing on pain control instead of aggressive treatment and medication?
  • To be sent to a hospice rather than a hospital for end-of-life care?

Your advance directive will also state whether you want to be an organ or tissue donor or give your body to a medical school or research institute. Remember, these are personal choices, and there are no right or wrong answers. The key is to have open and honest conversations with your loved ones and health care providers, ensuring that your wishes are known and respected.

What legal documents do I need?

Advance Directive. Your advance directive or living will contains the answers to the questions above. It lets doctors know what medical treatments you want and which ones to avoid. You can specify conditions when these treatments should or should not be used.

Medical Power of Attorney. A crucial component of ACP is the designation of a medical power of attorney (MPOA), also known as a health care proxy or agent. This legal document allows an individual (referred to as the “principal”) to appoint someone they trust to make medical decisions on their behalf if they become unable to communicate or make decisions for themselves.

The appointed agent acts within the scope of authority outlined in the document, covering aspects such as surgery, medications and end-of-life care. Activation of the MPOA occurs only under specific conditions when the principal is unable to do so. Regular communication between the principal and the agent ensures that medical decisions align with the individual’s preferences. The MPOA, a legally binding tool, provides individuals with the assurance that their health care choices will be respected even in times of crisis, offering clarity and control in the face of medical uncertainties.

What resources can help me make advance care planning decisions?

Harvard Health Publishing offers a free downloadable guide to advance directives, living wills and other strategies for communicating health care preferences. You’ll also find forms for medical power of attorney, health decisions worksheet and a generic living will (advance directive).

The National Institute on Aging also offers numerous free resources to help with advance care planning, including worksheets, guides and checklists. You can get advance directive forms from:

Update your plans regularly.

Advance directives are living documents that should be reviewed and updated regularly to reflect any changes in your health, circumstances or preferences. As your life unfolds, revisit your decisions and ensure your advance directives remain consistent with your evolving wishes.

Take control and gain peace of mind

Advance care planning empowers you to take charge of your medical decisions and ensure that your wishes are respected. It’s a journey of proactive preparation, allowing you to align your care with your values, preferences and quality of life aspirations.

Remember, you’re not alone in this process. Reach out to your health care team, family members, and trusted advisors for guidance and support. Take advantage of the resources available to you, engage in open and honest conversations, and make informed decisions that reflect your true self.

Woman hugging senior woman

By creating an advance care plan, you’re not just planning for the future; you’re safeguarding your autonomy, ensuring peace of mind for yourself and your loved ones, and shaping your health care experience with clarity, control and dignity.

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