{"id":17247,"date":"2015-07-09T13:58:02","date_gmt":"2015-07-09T17:58:02","guid":{"rendered":"https:\/\/www.saratoga.com\/saratogabusinessjournal\/2015\/07\/solving-the-aging-parent-dilemma.html"},"modified":"2015-07-09T13:58:02","modified_gmt":"2015-07-09T17:58:02","slug":"solving-the-aging-parent-dilemma","status":"publish","type":"post","link":"https:\/\/www.saratoga.com\/saratogabusinessjournal\/2015\/07\/solving-the-aging-parent-dilemma\/","title":{"rendered":"Business Report: Solving The Aging Parent Dilemma"},"content":{"rendered":"\n
\n
\"nikki\n<\/div>\n
Nikki Williams, certified aging services professional at The Wesley Community.\n<\/div>\n<\/div>\n

BY NIKKI WILLIAMS<\/p>\n

The family home is getting to be too much for
\nMom and Dad. Or perhaps Mom has fallen and
\nthe doctor doesn’t want her living in a house
\nwith stairs. Should Dad still be driving with his
\ndeclining vision?<\/p>\n

Members of the 50-plus age group now find
\nthemselves facing these and other aging parent
\ndilemmas. What are the choices for aging
\nparents? How can their adult children help?<\/p>\n

Ideally, grown children have spent quality
\ntime with aging parents long before issues that
\ngo with their advancing age begin. They have
\ntalked openly together about finances and plans
\nand wishes for the future. When this has not
\nhappened, solutions take more time and are
\noften subject to more resistance from parents.<\/p>\n

With the Internet, information about senior
\nhousing and care options for the aging adult is
\nnow a lot easier to find. There are also many
\nprofessional care managers who guide people
\nthrough the whole process, whether it be things
\nlike assessing an elder’s needs, finding help so
\nthat an aging person can stay at home, or downsizing
\nthe number of belongings and settling
\nhim or her comfortably in a new environment.
\nFamily physicians can make recommendations,
\nor the local county Office for the Aging.<\/p>\n

Some of the best advice can come from people
\nwho have already had to deal with aging parent
\nissues. Their experiences and lessons learned
\ncan be a valuable resource.<\/p>\n

Senior living arrangements generally break
\ndown into three categories: independent living,
\nassisted living, and long-term (or skilled) care.
\nThere are many varieties of independent
\nhousing for seniors: large and small, for-profit
\nand not-for-profit, subsidized and market rate,
\nno services to full services.<\/p>\n

Upscale independent living has cottages or
\nbuildings with luxury apartments, gyms, activities
\nand travel, housekeeping services, and
\nrestaurants. This more exclusive and expensive
\nhousing sometimes requires ownership of the
\nliving quarters or the payment of entry fees that
\nmay be returned in full or in part if the senior
\nleaves for any reason.<\/p>\n

More modest buildings offer fewer amenities
\nat a lower cost, but can still be a great source
\nof community living providing informal support
\nsystems, some services, activities, and meal
\nplans. This housing generally requires just a
\nlease and the payment of rent each month.<\/p>\n

Subsidized independent housing for lower income
\nseniors requires that seniors not exceed income limits. They must fully disclose financial
\ninformation.
\nRents in such apartments are usually 30
\npercent of the senior’s income and the rental
\nsubsidy usually comes from the U.S. Department
\nof Housing and Urban Development
\n(HUD). Applicants are generally screened for
\nsuch things as citizenship status, credit worthiness,
\nand criminal history.<\/p>\n

Most independent housing for seniors allows
\nresidents to have help in the apartment,
\nso a parent aging in place can hired an aide if
\nthat becomes necessary. Seniors can stay in
\nindependent housing as long as they can solve
\nproblems and act safely.<\/p>\n

Assisted living is the right place for elders
\nwho cannot take proper care of themselves
\nwhen living independently, but who do not yet
\nrequire skilled care given in nursing homes.
\nAssisted living generally provides private rooms
\nor suites, three meals a day, laundry and housekeeping
\nservices, medication management,
\n24-hour supervision, or a combination of these
\nservices for a monthly fee. Many assisted living
\nfacilities specialize in memory care for elders
\nwith Alzheimer’s disease or other forms of dementia
\n(confusion and forgetfulness).<\/p>\n

New York state offers minimal financial assistance
\nopportunities for this level of care making
\nit difficult to obtain for low income seniors.
\nSeniors who need daily attention from a
\nnurse or other medical professional require
\nwhat is called long term or skilled care. This was, and sometimes still is called a nursing
\nhome.<\/p>\n

A medical assessment covering the senior’s
\nability to perform their own personal care and
\nthat assesses their decision making skills,
\nlevel of forgetfulness or confusion, and medical
\nneeds is required before admission.<\/p>\n

Today’s skilled care is not what older seniors
\nremember from years ago. Residents in long
\nterm care can now enjoy the less institutional
\nsetting of modern buildings with homey rooms,
\nand stimulating activities, as well as less restrictive
\nvisiting hours and more flexibility with meal
\ntimes and choices.<\/p>\n

States have programs to help pay for longterm
\ncare for those who cannot afford it. The
\ncounsel of a well-regarded elder law attorney
\nyears before skilled care is on the horizon is a
\nmust for anyone with assets.<\/p>\n

Williams is a certified aging services professional
\nat The Wesley Community.<\/p>\n

Photo Courtesy The Wesley Community<\/p>\n","protected":false},"excerpt":{"rendered":"

Nikki Williams, certified aging services professional at The Wesley Community.BY NIKKI WILLIAMS The family home is getting to be too much for Mom and Dad. 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