Archives for March 2019

Are Assisted Living Facilities Keeping Up With Needs?

March 26, 2019 by Honey Leveen Leave a Comment

Assisted living facilities and their residents don’t tire of blaming each other for sub-standard care.

An article in the New York Times reported the tragic and avoidable death of a 90-year-old resident, suffering from dementia. A resident of Brookdale Charleston Senior Living, she wandered outside — and not for the first time.

Nobody noticed her absence for seven hours. She was found in the pond behind the facility, dead from puncture marks to her ear, temple, jaw and cheeks. Her pacemaker was discovered inside one of the alligators that lived in the pond.

The assisted living facility has already settled the family’s claim for wrongful death and is now facing an additional suit for emotional distress.

Sharing the Blame

I believe that the residents, their families and the facilities can share in the blame.

Undertrained Staff

Assisted living is not federally regulated. Nursing homes are. State enforcement and sanctions are often lax and not very stringent.

Many experts agree that much of the problem stems from inadequate staffing which I’ve blogged about in the past. Adequate funding will easily resolve these shortcomings. An simple recommendation, but more difficult to implement.

Assisted living started as a service for people who were more independent. Residents who need help with activities of daily living (ADLs). Some residents were experiencing early cognitive challenges. Just a generation later, assisted living often accepts people with far greater needs. Needs they may not be prepared to fully accommodate. I often see this, and it disturbs me.

The Facility’s Profit Motive

Many assisted living facilities are for-profit entities, earning handsome returns to their investors. I have some friends who manage the marketing at some of these organizations. They often tell me that they are pressured by management to fill as many apartments as they can.

Facilities cannot offer this needed care at an affordable price point that fills apartments and attain financial returns that please their investors. As the saying goes, “No one can serve two masters.”

The Resident’s Budget

The residents (or their families) pay for assisted living out of their own pockets, unlike nursing homes. Medicare or Medicaid do not contribute. They have a high appeal, as they emphasize independent living instead of intensive medical care.

Many residents are unable to afford the higher cost of fully trained and properly staffed facilities, so they let their budget determine the quality of care they receive.

People want to deny the almost certain fact that they might ever need long term care (LTC). When they inevitably do need LTC, it is common for them and their family to downplay the true extent of their needs.

So they choose the posh, upscale environment so many assisted living facilities have, instead of one that may be better-equipped to actually care for the resident.

What happens when the residents and their family realize that they’re not getting the care they need? They might experience the tragic consequences like the resident in the NYT article. They might move to another facility more appropriate for their escalating needs.

Decide to Plan

When planning for your future needs, wouldn’t it be nice to make your decisions based on quality of life and not settle for a sub-standard solution just because of your financial limitations?

Choose quality! Click here to receive your free, no-obligation quote for your own Long Term Care insurance policy.

The High Cost of Illiteracy You Haven’t Thought About

March 18, 2019 by Honey Leveen Leave a Comment

The U.S. Department of Health & Human Services has a handy fact sheet all about “Health Literacy”, starting with a definition:

“Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”

That ability to obtain — and understand — the necessary facts makes all the difference in how people choose to manage their health options.

The New York Times recently reported on the rising threat of health illiteracy in our country. And the numbers only get worse with age. In fact, only 3 percent of older adults qualify as having “proficient” health literacy.

Why Is It Harder For the Elderly?

There are a number of factors that contribute to the increase of health illiteracy in our aging population.

Complicated Information — Medical information is usually shared in technical, scientific language that can even confuse professionals.
Use of Jargon — Medical professionals sometimes fall back on industry jargon without explaining the meaning.
Stressful Conditions — When people are anxious, it’s even harder for them to make sense of the information being shared.
Cultural Differences — Sometimes there’s a language barrier that keeps people from fully understanding instructions. Even the most competent English speakers may not be able to follow the specifics of a prescription.
Cognitive Impairment — Declining brain function can have disastrous consequences when dosages are misunderstood or completely forgotten.

I’ve often blogged about age-related cognitive decline and it’s ill effects.

Too often, I see health illiteracy in clients I’ve known for many years. When we talk, I can tell they’re not the person I originally met. Instead, I hear fear, frailty and confusion. I worry for their ability to make safe choices for themselves.

One thing left out of the article is the decreasing access to family and community support. This is the elephant in the room. No amount of technology can replace the caring touch of another. I believe our increasingly isolated lifestyles are a major cause of loneliness, depression, fear, poor health outcomes, and health illiteracy. And it only gets worse as we age.

Our increasingly stressed medical system is doing it’s best to counteract the rise in health illiteracy, but this is an uphill battle. I’m not confident they’ll win.

Plan For Your Future Health Literacy

You can avoid health illiteracy well in advance. We are not going to regain our supportive communities from our grandparents’ generation. Make sure you have access to care and genuine concern when you need it. Plan for it and pay for it. Long term care planning in advance is essential.

To begin exploring your own options, click here to receive your free, no-obligation quote for long term care insurance coverage.

Request a Free, No-Obligation LTCi Quote