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ProAging Network Breakfast - 9/19 - Get Ready For Expo Season!

26-Aug-08

ProAging Network Breakfast - Get ready for expo season!
Date: 9/19/2008

Time: 8:30 a.m. - 10ish

Location: The Presbyterian Home
400 Georgia Court
Towson, MD 21111

Description: Join other senior-serving advisors and professionals for a fantastic networking event. Bring plenty of business cards and brochures! Senior expo season is right around the corner, our educational topic will be helping you maximize these opportunities and minimize frustrations. Whether you are an exhibitor or networker you dont want to miss this thought provoking opportunity and pick up some tips!�
Contact: Barbara Snyder�
Phone Number: 800-394-9990�
Email Address: barbara@proaging.com�
Website: http://www.proaging.com/calendar_event.asp?eid=4549

Social workers deserve a boost

26-Aug-08

August 23, 2008 Baltimore Sun
I remember the response many years ago when I told an aunt I was entering social work school: “Why do you want to spend your life giving out ‘home relief’ checks” (”It’s time for the givers to receive,” Commentary, Aug. 19)?

Social work has come a long way from the days when social workers were almost solely identified with “welfare” and the distribution of “checks.”

These days, professionally trained (and licensed) social workers are common in social services as diverse as foster care, adoption, geriatric care, substance abuse and community mental health facilities.

And anyone who has ever dealt with the myriad complications associated with establishing support services for an elderly family member about to be released from an institution (hospital, nursing home, etc.), or a home-bound relative needing assistance, to name only a few scenarios, realizes the valuable role played by social work professionals.

 

Sen. Barbara A. Mikulski’s Social Work Reinvestment Act, which seeks to keep the social work profession strong and vibrant, will benefit not only the profession but the millions of recipients of our services.

It deserves to be funded. Howard Altstein

Baltimore

The writer is a professor at the University of Maryland School of Social Work.

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Nursing Home Task Force Says, ‘The System Is Broken and Can’t Be Fixed’

26-Aug-08

NASHVILLE, Tenn., Aug 25, 2008 /PRNewswire via COMTEX/ — A national task force from the American Association of Homes and Services for the Aging (AAHSA) recently reported that the current survey and certification processes used to evaluate long-term care facilities nationwide is broken and beyond repair.
After a thorough investigation into survey and certification protocol across the country, the task force concluded in its final report, “Broken and Beyond Repair: Recommendations to Reform the Survey and Certification System,” that an independent, broad-based national panel of experts should be convened to re-examine the oversight process for nursing homes.
The report’s 31 recommendations address short-term and long-term solutions, including improved communication to surveyors and providers about new requirements and changes to the survey process, standardized job descriptions for surveyors, more efficient use of survey resources, and flexibility to adapt to culture change. The task force’s overarching recommendation is that an independent commission, such as the Institute of Medicine, re-examine the survey and certification process to “create a common vision for how our nation should care for its frailest citizens and to recommend a new oversight model for ensuring that this vision becomes reality in every nursing home today.”
This report hits home in Tennessee, where the trend of increased admission suspensions continues for the second consecutive year, with 16 facilities forced to remit significant fines and suspend new patient admissions so far in 2008, following 29 in 2007. This comes as a result of violations reported under the current survey system.
Co-chair of the 20-member task force and CEO of Hebrew Health Care in West Hartford, Conn. Bonnie Gauthier acknowledged that, “Our short-term suggestions alone won’t bring the system back to the intent of OBRA 87-achieving optimal, quality-based, resident-centered care-but they will tide the system over until broad systemic change can occur.” Immediate changes needed, according to the report, include better public reporting of survey results, joint education of providers and surveyors, and greater overall consistency in the process.
TNAHSA, Tennessee’s AAHSA affiliate, works closely with the Department of Health in an ongoing effort to provide updated and accurate information to licensed providers of long-term care services, according to TNAHSA Executive Director Carrie Ermshar.
“Because the Centers for Medicare and Medicaid Services play a significant role in the certification process, the solution must address procedures at the state and federal levels,” said Ermshar. “We have encouraged enhanced training for Tennessee Department of Health licensure surveyors and we are seeing tremendous efforts to improve communications between surveyors and facilities. We have a great team of providers, lawmakers and surveyors in Tennessee and we all share the common goal of providing excellent patient care.”
To inform its conclusions, the report includes a digest of interviews with survey agency representatives from seven states and a catalog of surveyor job descriptions from numerous states.
Timothy L. Veno, president and CEO of the Kentucky Association of Homes and Services for the Aging (KAHSA) and a co-chair of the task force, said that, “The frustration of good providers has reached a boiling point.” Veno added, “We have to help shape a better system of consumer protection for residents.”
Larry Minnix, AAHSA’s president and CEO, said the task force captured the demoralization of providers who feel caught in a vicious circle. “We have to break the cycle of fear that paralyzes us all: consumers fear nursing homes, nursing homes fear the state, states fear the federal government, the federal government fears Congress and Congress fears voters,” Minnix said. “This system is broken and can’t be fixed. A system based on consistency, fairness and accuracy will help us move toward the day when there are two types of nursing homes: the excellent and the non-existent.”
Copies of the report are available on AAHSA’s Web site at http://www.aahsa.org/advocacy/nursing_homes/documents/SCTF_Report_FINAL.pdf .
About TNAHSA
TNAHSA represents skilled nursing facilities, assisted living facilities, senior housing services and various agencies serving senior adults throughout Tennessee. An affiliate of the American Association of Homes and Services for the Aging (AAHSA), TNAHSA provides leadership, advocacy, education and communication services. For more information about TNAHSA, please visit www.tnahsa.org or call 615-256-1800.
SOURCE Tennessee Association of Homes and Services for the Aging

Who Are You Calling Old? Labels Change as Americans Live Longer, But Age Still Plays a Role in Election

26-Aug-08

By JUNE KRONHOLZ
August 26, 2008; Wall Street Journal, Page A15

In 1996, Bob Dole, the Republican Party’s presidential nominee, battled criticism that, at 73 years old, he was too old to be president. Now 85, Mr. Dole is working “pretty much every day” at a Washington law firm, says the firm’s spokesman.
Click to see full chart.
Age is certain to be an issue in this election, too. Republican Sen. John McCain, who turns 72 this week, would be the oldest man elected president should he win. Democratic Sen. Barack Obama, at 47, would be the fourth-youngest.

But in a country that is rapidly aging while staying healthy longer, what does old age mean, and how much should it matter?

The average U.S. life expectancy is now age 78, up 30 years since 1900 and up 10 years since 1950, according to the Census Bureau. Geriatricians now talk of those younger than 80 as the “young old,” and of those younger than 65 as the “near old.”

U.S. businesses still seem wary of older people. The Corporate Library, a business-research firm, says that seven of the largest 500 public companies, including News Corp. — owner of Dow Jones & Co., publisher of The Wall Street Journal — have chief executives who are 72 or older. Some corporate recruiters warn about the memories, energy levels and technological savvy of older executives.

 CAST YOUR VOTE
Would you rather have a president who’s relatively old or relatively young?By that standard, businessman Warren Buffet, one-quarter of U.S. senators and four Supreme Court justices are over the over-72 hill.

In corporate America, “there’s a code word — how much ‘runway’ does a guy have” left in his career, said Hal Reiter, chairman of Herbert Mines Associates, which recruits executives for the retail industry. An executive in his 60s probably has five to seven years left on his runway, Mr. Reiter said.

Some who study aging say such fears are misplaced. A 45-year-old and a 75-year-old “absolutely” have the same mental capacity, and energy is a function of health rather than aging, said Neil Resnick, chief of geriatric medicine at the University of Pittsburgh.

“Aging has such a small impact on how we function that it is of minimal importance” compared with experience, personality and the advisers a president or chief executive surrounds himself with, Dr. Resnick added.

Geriatricians say most people begin losing organ function — which means they start aging — somewhere between 18 and 30. After that, the heart, kidneys and other organs lose about 1% of their function each year. The world record for a 75-year-old marathon runner is about 50% longer than the world record for a runner who is 50 years younger.

But organs have from four to six times more capacity than most people need. That excess capacity is why we can run marathons or endure other extraordinary mental or physical challenges.
See an interactive graphic weighing the candidates’ ages.
Brain function declines at the same rate as other organs, and especially affects how fast older people can retrieve information — the explanation for that maddening “senior moment.”

Our genes influence how much and how fast we decline: They account for about 30% of longevity and perhaps half of age-related changes in the brain, said John Rowe, a physician and former Aetna Inc. chairman who now heads a MacArthur Foundation research program on aging.

But life experience and accumulated wisdom can help offset normal brain decline and compensate for slowed retrieval time. “The great benefit of aging is ‘been there, done that and learned from it,’ ” said David Reuben, head of geriatric medicine at the University of California at Los Angeles. Mathematicians do their best work in their 20s; orchestra conductors and diplomats peak in their 60s or 70s, he added.

On the other hand, Robert Butler, who founded the government’s National Institute on Aging and now heads the International Longevity Center research group, credits judgment over experience when it comes to making sound decisions. He points to Abraham Lincoln, who was 52 and had just 10 years of government experience before becoming president.

Dr. Butler added, though, that brain cells can continue to “flourish” and grow in people in their 80s. Vocabularies expand as people age; older brains develop unconscious work-arounds to diminish the effects of slowed retrieval speed.

Despite Sen. McCain’s admitted aversion to technology, there is no research that shows older people are less willing to take up new ideas. “If he’s averse to technology now, he probably always was,” said Dr. Resnick.

UCLA’s Dr. Reuben insists that commentators are asking the wrong question when they focus on age: It isn’t how old, but how healthy the candidates are.

Almost everyone knows a 75-year-old who sky-dives, hikes the Grand Canyon or runs a family business. Census Bureau data suggest that Americans generally are staving off disability to the very end of life: Those at age 65 can expect that half their remaining years will be disability free.

About one in eight men age 70 or older is working, and among those who aren’t, poor health is one of the less-important reasons. Even though age-discrimination laws often prevent mandatory retirement, twice as many say they were “forced” to retire for one reason or other as those who said they were sidelined by illness.

But most people also know someone who died in his or her 50s from a heart attack or cancer. The risks of disease and the effects of a lifetime of exposure to sun, pollution, cigarettes and other life shorteners catch up with us as we age.

The percentage of people with Alzheimer’s disease doubles every five years after age 65, and while heart-related deaths are down in the past four decades, cancer deaths are rising.

The backdrop for all this is an over-65 population that will double to 80 million in 30 years as the tidal wave of baby boomers sweeps through. One in five people will be older than 65, up from one in eight now, and Dr. Rowe predicts a future in which as many Americans push walkers as strollers.

Longer life will have a huge effect on everything from immigration policy to public transit to housing. Where will we find all the home health aides, how do we get 85-year-olds off the highways and what is to become of those four-bedroom houses?

Retirement at age 65 made sense when most workers poured steel, plowed fields and mined coal. Today’s workers — still vital and healthy, for the most part — want nothing to do with lowering their Social Security-benefits age.

An aging society also may affect elections, although that is less clear. Researchers who study prejudice say that Americans are more biased against the elderly than against any other group, including those identified by their race or sexual orientation. Even the elderly are biased against the elderly.

Voters ages 65 and older account for more than one-quarter of the electorate and vote at higher rates than other age groups. In presidential elections, young voters “always go for the new face,” said Robert Binstock, a professor of aging at Case Western Reserve University in Cleveland, but older voters vote much like everyone else.

That means that, even in an aging society, Sen. McCain can’t count on the oldster vote, even as Sen. Obama is relying on the youth vote. Being older is one thing; it could be that voting for an older president is another.

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Cost of Caring for Aging Parents Could Be Next Financial Crisis

26-Aug-08

 

NAPLES, Fla., Aug. 26 /PRNewswire/ — Many people find themselves responsible for paying for the care of their parents as they age. But according to a just-released survey, these adult children of aging parents, known as family caregivers, are vastly unprepared. The survey found:

– 63% of caregivers have no plan as to how they will pay for their parents’ care over the next five years.

– 62% say the cost of caring for a parent has impacted their ability to plan for their own financial future.

“With an estimated 34 million Americans providing care for older family members, the survey’s results indicate a financial crisis in the making,” says Joe Buckheit, Publisher of AgingCare, a website and online forum for family caregivers.

“Medicare only covers long-term care for a short time, and only under strict rules. Medi-gap insurance helps, but does not cover all costs. The burden of paying for long-term care often rests with the family,” Buckheit says. “The caregivers’ lack of planning is impacting their own financial future.”

Long-term care costs are not the only expenses caregivers bear. “Family members responsible for ailing loved ones provide not only hands-on care but often reach into their own pockets to pay for many daily expenses, including groceries, household goods, drugs, medical co-payments and transportation,” says Buckheit. “Americans who are already strapped for cash by the rising price of gas and food are unable to afford these additional expenses.” The survey found:

– 34% spend $300 or more per month out of their own pocket for caregiving expenses.

– 54% have sacrificed spending money on themselves to pay for care of their parents.

Work Issues

Making matters worse, caring for aging parents often impacts adult children at their workplace as well. The survey found:

– 43% have had to take time off work due to caregiving responsibilities. — 48% say they are earning less money at work as a result of caregiving. — 25% have been fired or had to quit their job as a result of caregiving.

Physical and Emotional Toll

Despite potentially making less money and doling out more, more than half of the caregivers surveyed are spending what equates to a full-time work week — 40 hours or more — on caregiving duties — many in addition to their full-time careers outside the home.

– 53% of caregivers provide care 40 or more hours per week. — 37% provide care more than 80 hours per week. — 21% say they never get a break from caregiving. — 36% get a break of 5 hours or less a week.

The survey indicates that today’s caregivers face a triple financial threat: unplanned-for caregiving expenses, less money for their own needs and reduced time in the workplace.

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