All posts by Integral Senior Living

What To Do When Seniors Refuse Help

How should caregivers respond when older adults won’t accept advice or assistance?

Ask any caregiver about the most challenging aspects of assisting older adults, and you’ll likely hear examples of their frustration when help is offered but refused.

There’s no doubt that many senior adults need varying levels of assistance with daily activities, says a recent study from the National Center for Health Statistics. Approximately one in five seniors, age 75 and older, need help with day-to-day tasks such as shopping, doing household chores, handling finances, and managing medications, according to the study.

In a study published in The Journals of Gerontology found that more than three-fourths of grown children think their parents are stubborn about taking advice or accepting help with everyday activities.

For caregivers and senior adults, these conflicts—which may escalate over time—can result in a standoff in which the older adult will turn away from any advice, suggestions, or offers of help from caregivers.

What strategies can caregivers use to encourage seniors to accept assistance, especially when it’s obviously needed?

Understand their motivations. Try to discover why your older adult is resisting. Does he or she resent the changed power dynamic (you’re the “parent” and he is the “child)? Is she denying the realities of growing older and losing independence? Is there depression or confusion? Try to ascertain what the older adult is afraid of. Listen to his or her concerns without judgment.

Choose your battles. How important is the matter? Is it a critical health or safety issue? Or it is something that’s irritating you—but not, in the overall scheme, consequential?

Accept the situation. If seniors are not endangering themselves or others, step aside and let them to make their own choices. They will then experience the consequences of their behavior—and may be more inclined to allow your assistance in the future. They may even ask for help!

Ask them to help you. Explain to seniors how much it would mean to you if they would allow you to be useful to them. Aging adults proclaim that they don’t want to be a burden, which is understandable—but let them know that you want to feel needed. Assure them that their letting you give back to them would be a gift to you.

Veterans Benefits for Caregivers and Spouses

What are these benefits, who is eligible, and how to apply

More than 1.5 million wartime-service veterans and their surviving spouses are eligible for billions of dollars each year in U.S. Department of Veterans Affairs (VA) pensions to help pay for long-term care.

Many are not getting the assistance they’re eligible for because they don’t know these benefits programs exist, what the benefits can be used for, or how to apply. If you are caring for a veteran of the armed forces, is your loved one receiving the benefits he or she deserves?

Certain VA benefits can be used for medical and non-medical care in these settings:

  • A veteran’s own home
  • Independent and assisted living communities
  • Skilled nursing homes
  • Other long-term care settings

Some of these benefits can be used to pay family caregivers for providing in-home care services for vets.

Surviving spouses of eligible veterans can also make use of long-term-care programs like Aid & Attendance and Housebound Pensions. And there are veteran burial benefits to ease the financial burden of funeral costs.

Eligibility may be the primary focus for many caregivers, but other areas of confusion and misinformation could affect families’ success in obtaining veterans benefits.

The VA doesn’t recognize Power of Attorney (POA)

Caregivers often hear about the necessity of getting a POA as part of planning ahead for elderly care, but to manage a legally incompetent veteran’s financial affairs, an individual must be officially appointed as the veteran’s fiduciary. To serve as a fiduciary, you must submit the beneficiary’s name and VA file number, and your name and contact information to the VA Regional Office nearest you.

Expediting a VA application

The VA has rules to expedite the applications of people age 90 and older. If your veteran is in this age group, make sure that the VA office handling the application knows this.

Veterans don’t have to be ill to qualify for Aid & Attendance

It’s not well known that when veterans turn 65 they are considered 100 percent disabled in the eyes of the VA. This means that they could be eligible for the lowest level of Aid & Attendance assistance, even if they have no major health conditions.

When a veteran dies, spouses must reapply for benefits

If a veteran dies before their spouse, Veteran Aid & Attendance Improved Pension benefits being received by the couple will cease. The surviving spouse to submit a completely new application to the VA to get their benefits reinstated.

Talk only to the local VA office that services the area your vet lives in

Caregivers won’t be able to obtain information from offices that do not handle their loved one’s account. VA offices are not allowed to pull files on beneficiaries or applicants who do not live in their area.

Should You Volunteer After Retirement?

Here’s what to consider when weighing your options

Throughout the country, millions of people have found fulfillment donating their time to causes and organizations whose missions interests them. The Corporation for National and Community Service (CNCS), a federal agency that finances and runs AmeriCorpsSenior Corps, the Volunteer Generation Fund, and others, estimates that more than 64 million Americans volunteer nearly 8 billion hours each year.

A recent survey by the Consumer Reports National Research Center reported that two-thirds of respondents ages 55 to 70 who hadn’t yet retired said they plan to spend more time volunteering in retirement.

By helping others, volunteers not only contribute untold value to their chosen organizations, but they also reap benefits themselves. Studies have connected volunteering with reduced depression and enhanced brain activity. Active volunteering also correlates with living longer, healthier, more meaningful lives.

“The biggest thing is to find an opportunity that suits you,” Samantha Warfield, a spokeswoman for the CNCS, told Consumer Reports. “Do what you’re passionate about.” 

In many cases, finding the right volunteer work isn’t so different from seeking a job that pays. Here are factors to consider.

Capitalize on your background—or not. When you contact an organization, mention the skills honed in your career. However, be aware that the very things you did while working won’t always translate into volunteer success, says Robert Laura, retirement expert and Forbes columnist. He talks about a recently retired social worker who was burnt out from all the heartache and stress caused by her job. Yet, after six months of retirement, she was bored, so she put her people skills back to work by volunteering in the very sector she’d left: social work. Not surprisingly, within three months she was burnt out again—and not even getting paid. Worse yet, she felt guilty about quitting because they were understaffed.

Take another direction. A retiring school administrator wanted to be a part of something that had definitive start and end dates, and a finished product to see and touch. This contrasted with her past work life that consisted of policies, curriculums, and procedures needing constant reviews, updates, and revisions. Nothing ever got finished. She signed up with Habitat for Humanity, whose mission is focused on building (and completing) physical structures to shelter real families.

What do you care about? To define how and where you want to spend your time, ask yourself, “What do I want do something about?” What do you want to change? What issues and conditions bother you? Your answers can give your volunteer efforts more purpose. You will be positioned to seek organizations that fit your goals and offer you the chance to make a difference in ways that matter to you.

Start small. Begin volunteering in brief stints—an hour per week reading to a preschooler or two hours in a food bank. If you’re tentative, bring along a friend for support. Keep in mind that that as a “newbie,” you may not get the plum assignments right away. Also, keep asking yourself, Is this the work I want to do?

Don’t forget an “exit strategy.” Your role with the organization may or may not turn out as you’d envisioned. Before you sign on, ask about the organization’s exit strategy in case you feel uncomfortable, the work doesn’t match your skills or interests, causes physical challenges, or doesn’t meet other expectations. A process to communicate your concerns or, if necessary, resign your position allows both you and the staff to make changes or to part ways without hard feelings and misunderstandings. 

How to find opportunities. Ask for recommendations from friends, family, and colleagues, check the websites of organizations of interest, or use search engines to find the types of volunteer opportunities available. Start with the websites VolunteerMatch.orgServe.gov, and for a long-term, full-time commitments, NationalService.gov.

April Is Parkinson’s Disease Awareness Month

Groups raise awareness of the disease and its treatments 

More than 1 million people in the U.S. have Parkinson’s disease, says the National Parkinson Foundation, and as many as 60,000 new cases are diagnosed every year. Parkinson’s disease is a chronic, degenerative neurological disorder that affects one in 100 people over age 60. Parkinson’s strikes 50 percent more men than women. The average age at onset is 60, but some are diagnosed at 40 or younger.

Parkinson’s involves the malfunction and death of vital nerve cells in the brain, called neurons, according to the Parkinson’s Disease Foundation. The job of some of these dying neurons is to produce dopamine, a chemical that sends messages to the part of the brain that controls movement and coordination. As the disease progresses, these brain neurons produce less and less dopamine, and the person loses movement control.

Common Symptoms

Symptoms vary from person to person, but primary motor signs include the following:

  • Tremor or the hands, arms, legs, jaw and face
  • Slowness of movement
  • Rigidity or stiffness of the limbs and trunk
  • Instability of posture or impaired balance and coordination

Medications and Treatments

Many medications and treatments are available to help manage the symptoms of Parkinson’s, but none yet reverse the effects of the disease. According to the Mayo Clinic, doctors may also suggest lifestyle changes, especially ongoing aerobic exercise. Physical therapy that focuses on balance and stretching may also be effective. Speech-language pathologists may help improve speech difficulties. In later cases, surgical procedures such as deep brain stimulation may be recommended.

What’s New in Parkinson’s Treatments?

Deep brain stimulation. For two decades, deep brain stimulation (DBS) therapy for Parkinson’s patients has been successful, says the National Parkinson Foundation. Evidence shows that DBS has meaningfully helped tens of thousands of patients worldwide, improving tremor, dyskinesia (involuntary movements), on-off fluctuations (reduced effectiveness of levodopa medication), and other Parkinson’s symptoms. DBS has fallen short in slowing disease progression, including walking, talking, and thinking. Some scientists advocate using guide tubes (straws that DBS leads are fed through to precisely place them into the brain) to deliver growth factors to improve brain function. There is also interest in developing DBS leads connected to pumps that could continuously supply factors to the brain while maintaining the electrical current derived from the DBS device.

The relationship between the gastrointestinal system and Parkinson’s disease. Evidence has been mounting in support of a relationship between the gastrointestinal (GI) system and Parkinson’s disease. Many pathologists and neurologists believe that Parkinson’s may start in the gut. Studies have found that many GI symptoms, such as constipation, occur as prominent and disabling Parkinson’s symptoms. People with Parkinson’s who are experiencing motor fluctuations that cannot be controlled by medication adjustment are advised to ask their doctor to test for H. Pylori (a common type of gut bacteria) infection.

Good News! Recent Study Shows Fewer Seniors Are Developing Dementia

Dementia sufferers are also developing the disease at older ages

For years we’ve heard dire predictions that dementia rates would skyrocket as the population ages, grows increasingly overweight, and develops more diabetes and high blood pressure. But a recent data analysis published in the January 2017 issue of JAMA Internal Medicine has found that the prevalence of dementia is actually decreasing.

The nationally representative report showed that adults 65 and older with dementia dropped from 11.6 percent in the year 2000 to 8.8 percent in 2012. Those results support another, smaller-scale study released in 2016, which found that dementia rates dropped by 44 percent since the late 1970s through 2008.28

The New York Times reported that the downward trend is “statistically significant and impressive,” according to Samuel Preston, a demographer at the University of Pennsylvania who was not associated with the study.

Further, in 2000, people received a diagnosis of dementia at an average age of 80.7; in 2012, the average age was 82.4—indicating that the disease is starting at older ages.

Researchers are analyzing the data to determine the causes for the lower dementia rates. Currently, medical experts are looking at two factors: education and heart health. Researchers have found that seniors with more education are less likely to develop dementia than seniors who didn’t finish high school.

Scientists theorize that further education enhances brain development and gives people “cognitive reserve” that allows them to lose cognitive function to aging without developing full-blown dementia, or delays the onset of impairment.

Many doctors believe that the biggest reason for the decline is improved heart and circulatory health. Vascular dementias decreased the most in the study, likely because of better treatments for stroke, heart disease, and blood-vessel disorders. Regular exercise can bolster cardiovascular health at any age, which may help stave off or lessen age-related cognitive decline. Doctors advise people who already have heart health issues or chronic conditions like diabetes to carefully follow their treatment plans to reduce risk of dementia and other disorders.

 

March Is National Nutrition Month

This year’s theme is “Put Your Best Fork Forward”

National Nutrition Month is a nutrition education and information campaign held every March by the Academy of Nutrition and Dietetics. The campaign focuses on the importance of making informed food choices, developing sound eating practices, and committing to physical activity habits.

The theme for 2017 is “Put Your Best Fork Forward,” which reminds us that each bite counts. Small shifts in our food choices can reap benefits over time. The 2015–2020 Dietary Guidelines for Americans suggest starting with gradual changes—one forkful at a time—to create healthier, lasting habits for years to come. Whether you are preparing meals at home or making selections when dining out, Put Your Best Fork Forward helps develop the healthy eating style that’s best for you and your family.

“How much we eat is as important as what we eat, which is why this year’s National Nutrition Month theme inspires us to start with small changes in our eating habits,” says registered dietitian nutritionist and Academy of Nutrition and Dietetics Spokesperson Kristi King.

Key Messages of this Year’s Campaign

  • Create an eating style that includes a variety of your favorite, healthful foods.
  • Practice cooking more at home and experiment with healthier ingredients.
  • How much we eat is as important as what we eat. Eat and drink the right amount for you.
  • Find activities that you enjoy and be physically active most days of the week.
  • Manage your weight or lower your health risks by consulting a registered dietitian nutritionist. RDNs can provide sound, easy-to-follow personalized nutrition advice to meet your lifestyle, preferences, and health-related needs.

The Academy of Nutrition and Dietetics is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving the nation’s health and advancing the profession of dietetics through research, education, and advocacy. Visit the Academy at eatright.org.

Who Qualifies for Senior-Care Tax Deductions?

Tax season can be especially stressful for seniors on a fixed income and for family caregivers of elderly loved ones—groups that include millions of budget-conscious Americans looking to keep expenses down.

The good news is that seniors and caregivers may be eligible for tax deductions for medical and dental expenses. Another bright spot in 2017 is that final tax returns are due Tuesday, April 18, three days later than the standard April 15 date. This year the 15th falls on a weekend and Monday, April 17, is Emancipation Day, a federal holiday, giving tax filers until April 18 to complete their returns.

Seniors receiving medical care in assisted living may qualify for tax deductions. This includes residents with Alzheimer’s or other forms of dementia who require substantial supervision to protect their health and safety.

Taxpayers married to or related to seniors requiring care may be eligible for deductions if the senior qualifies as the taxpayer’s dependent according to IRS requirements. Detailed information on dependency can be found at http://www.irs.gov/publications/p554/ch05.html. Additionally, the caregiver must provide more than half of the support for the senior during the year.

Which Senior Living Expenses Can Be Deductible?

For certain assisted living expenses to be tax deductible, the resident must be considered “chronically ill.” A doctor or nurse needs to have certified that the resident either:

  • Cannot perform at least two activities of daily living, such as eating, toileting, transferring, bath, dressing, or continence; or
  • Requires supervision due to a cognitive impairment (such as Alzheimer’s disease or another form of dementia). 

To qualify for the deduction, the senior’s personal care services need to be provided according to a plan of care prescribed by a licensed health care provider. This means a doctor, nurse or social worker must prepare a plan that outlines the specific daily services the resident receives.

Typically, only the medical components of assisted living costs are deductible and ordinary living costs like room and board are not. But if the resident is chronically ill and the facility is acting primarily for medical care and the care is being performed according to a certified plan of care, then the room and board may be considered part of the medical care and the cost may be deductible.

Residents who are not chronically ill may still be able to deduct the portion of their expenses that are attributable to medical care, including entrance or initiation fees.

Which Medical Expenses Can Be Deducted?

  • Premiums for insurance policies that cover medical care are deductible, unless the premiums are paid with pretax dollars. Generally, the payroll tax paid for Medicare Part A is not deductible, but Medicare Part B premiums are deductible.
  • Payments made for nursing services.
  • Medical fees from doctors, laboratories, assisted living residences, home health care, and hospitals
  • The cost of long-term care, including housing, food, and other personal costs, if the person is chronically ill.
  • The cost of meals and lodging at a hospital or similar institution if a principal reason for being there is to receive medical care.
  • Home modifications costs such as wheelchair ramps, grab bars, and handrails.
  • The cost of dental treatment.
  • The cost of travel to and from medical appointments.
  • Personal care items, such as disposable briefs and foods for a special diet.
  • Cost of prescription drugs.
  • Entrance fees for assisted living.
  • Room and board for assisted living if the resident is certified chronically ill by a healthcare professional and follows a prescribed plan of care. Typically this means that they are unable to perform two activities of daily living (ADLs) or require close supervision due to dementia or other conditions.

To claim the deduction, the medical expenses have to be more than 10 percent of the resident’s adjusted gross income. (For taxpayers 65 and older, this threshold will be 7.5 percent through 2016.) In addition, only medical expenses paid during the year can be deducted, regardless of when the services were provided, and medical expenses are not deductible if they are reimbursable by insurance.

For more information on what can and cannot be deducted for medical expenses see Publication 502 on the IRS Web site at http://www.irs.gov/pub/irs-pdf/p502.pdf.

Free Tax Preparation Help for Seniors and Caregivers

Preparing tax returns for seniors and caregivers can be complex, and tax rules may change from year to year. Need help? Consult a tax adviser, or get expert advice at an IRS-sponsored tax center free of charge. To find out what services these tax help centers offer, how to find one near you, and what you’ll need to bring when you visit, go to the IRS Web site at https://www.irs.gov/Individuals/Free-Tax-Return-Preparation-for-You-by-Volunteers

 

The Ridge Senior Living Celebrates Grand Opening

The Ridge Senior Living, a new assisted living and memory care community managed by Integral Senior Living (ISL) is pleased to announce it recently celebrated its official grand opening with an event for the entire community. At the Roaring 20’s event, guests were encouraged to come in their best Gatsby dress while food, drink, tours, door prizes, and entertainment were in abundance.

“We are so pleased to open our doors to the Salt Lake City community. Our goal of providing outstanding senior living care in a beautiful and unique environment is now a reality,” said Gabby Money, director of sales and marketing for The Ridge. “We welcome everyone to come by and see what makes The Ridge so unique and special.”

Defined by a distinctive atmosphere, lavish amenities, exceptional hospitality, and innovative technologies, The Ridge is in a league all of its own. Continuous connection with caring staff and healthcare professionals allows residents and families to enjoy the highest quality senior living experience. The community’s commitment to excellence brings sophistication and elegance to the heart of Salt Lake City

The Ridge is a three-story building offering 148 assisted living and memory care apartments and underground parking. The design is modern utilizing many windows in the design to take advantage of the amazing views. In addition, the building features all the latest in technology to enhance residents’ lives. Two local companies worked on the project; Sahara Construction as the building contractor and AJC Architects as the designer. The project is owned by Dave Farrell, an independent developer of assisted living and memory care communities in California and Utah.

Key highlights of the community include:

  • Spacious apartments with designer finishes
  • Unparalleled views throughout the community apartments
  • Restaurant & bistro featuring choices of local, organic fresh and gluten-free options to savor
  • Environmentally conscious, solar powered community
  • State-of-the-Art wellness center to engage in a healthy lifestyle
  • Concierge services available
  • Housekeeping for a hassle-free lifestyle
  • Apartment pre-installed with Voice over IP Phone system, Basic Cable and Wi-Fi
  • Resident parking and storage areas available
  • Vibrant Life calendar to offer a variety of daily experiences and adventures
  • Personalized care plans based on individual preferences
  • Exceptionally trained, compassionate staff available day and night
  • Cutting edge emergency response systems & keyless entry

The Ridge is located at 2363 S. Foothill Dr., Salt Lake City, UT 84109. For more information visit http://www.TheRidgeSeniorLiving.com

About The Ridge

Located in Salt Lake City, Utah, The Ridge Senior Living provides the finest in assisted living and memory care options for residents. It is operated by Integral Senior Living, which manages senior living communities. ISL is founded on a care philosophy that fosters dignity and respect for residents and promotes their independence and individuality. For more information visit http://www.theridgeseniorliving.com.

Integral Senior Living to Manage Revel Senior Living Community

Integral Senior Living (ISL), a premier senior living management company, is pleased to announce it has been chosen to manage Revel, a refined senior community located in Henderson, Nevada. The community is being developed by The Wolff Company and is located at 1505 Wigwam Parkway, Henderson NV 89074. It is anticipated to open for preleasing in early 2017.

“We are pleased to have been selected to manage this community and look forward to providing the highest standards of senior services to make this the choice community in Henderson,” said Collette Valentine CEO/COO of Integral Senior Living.

When open, Revel, will offer 146 one- and two-bedroom independent living residences. Services and amenities will be of the utmost importance at this new community. Revel will offer unique dining options by partnering Sodexo and acclaimed chef and Food Network star, Beau MacMillan, in the development of two farm-to-table restaurant experiences. Revel will also offer an active lifestyle for seniors through ISL’s award-winning Vibrant Life program.

About The Wolff Company

Wolff has invested in, acquired and developed high-quality multifamily assets for more than six decades. The Company is headquartered in Scottsdale, Arizona and maintains offices in Washington, Massachusetts and California. Contact us at 480.315.9595 or visit us online at www.awolff.com.

About ISL

Integral Senior Living headquartered in Carlsbad, CA, manages a progressive selection of senior residences to meet the growing needs of today’s aging population. It currently manages 58 independent, assisted living and memory care properties throughout California, Arizona, Utah, Idaho, Texas, Colorado, Oregon, Washington, Illinois, Michigan, Missouri, Alabama, Oklahoma, Tennessee, Florida and Indiana. It is ranked the 20th largest senior living provider in the U.S. according to Senior Living Executive. ISL is founded on a care philosophy that fosters dignity and respect for residents and promotes their independence and individuality. The dedicated staff at each community is trained to maintain the highest standards of senior care services.

ISL Inspires: Helping Louisiana Flood Victims

Integral Senior Living (ISL), a premier senior living management company, is always looking at new ways to innovate. Staying true to its mission, it created ISL Inspires, a program designed to give back to local communities in a variety of ways. Most recently, ISL Inspires took on the mission to engage corporate and community staff, residents, and family members to help raise money for Louisiana flood victims. In all the campaign raised $16,551.00 which was given to the non-profit organization Samaritans Purse to distribute the funds to victims.

“As part of ISL Inspires, we challenged all our communities to take part and raise funds for the flood victims in Louisiana. Working together for a common cause and goal, we were humbled by not only the monetary support we received, but the enthusiasm from everyone involved in this wonderful effort,” said Collette Valentine, CEO/COO of ISL.

ISL Inspires chose to assist residents of Louisiana who were victims of the devastating flood, which took place in August 2016. It was the worst US disaster since Hurricane Sandy. Thousands of people in Louisiana lost everything and help is needed, many did not imagine nor think they could become victims of a flood of this magnitude.

The check for $16,551.00 was presented to a representative of Samaritans Purse at ISL’s Executive Director meeting recently held in New Orleans.

About ISL

Integral Senior Living headquartered in Carlsbad, CA, manages a progressive selection of senior residences to meet the growing needs of today’s aging population. It currently manages 59 independent, assisted living and memory care properties throughout Alabama, Arizona, California, Colorado, Florida, Georgia, Idaho, Indiana, Michigan, Missouri, Nevada, Oklahoma, Oregon, Tennessee, Texas, Utah, and Washington.  It is ranked the 17th largest senior living provider in the U.S. according to Senior Housing News. ISL is founded on a care philosophy that fosters dignity and respect for residents and promotes their independence and individuality. The dedicated staff at each community is trained to maintain the highest standards of senior care services.