Search Results for: cognitive decline

Does Your Long-Term Care Plan Account for Your Own Normal, Natural Cognitive Decline?

May 19, 2016 by Honey Leave a Comment

Wade Pfau, PhD, CFA, whom I’ve previously praised effusively, writes about research confirming that we all will, very gradually, lose our cognitive speed, financial literacy and verve. I believe our natural good judgment will fade along with these things because I see my clients demonstrate this so very often.

Here’s a paper Dr. Pfau cites that illustrates this normal, natural cognitive decline.

Here’s another paper Dr. Pfau cites proving normal decline in financial literacy at advanced ages.

At a healthy age 63, I notice these changes in myself to a very minor extent. I am pretty sure it’s age related and not dangerous yet. It is just annoying.

I had breakfast with a long-time financial planner this week. He believes affluent people should self-insure for long-term care. I believe that he, like so many, is divorced from and not willing to imagine the psychological reality of what often happens at advanced ages.

I gave him many reasons why affluent people need long-term care insurance (LTCi). They buy it in disproportionately high numbers. I have blogged about this extensively.

Dr. Pfau’s article gives compelling scientific proof of why the elderly are often the victims of their own bad business decisions.

I see in-person proof of these same things. Even if they have no diagnosis of cognitive impairment, I see elderly clients making very bad personal and business decisions, time and time again. I am very disturbed by this.

Children of affluent clients with multi-million dollar wealth tell me their parents would not avail themselves of home or assisted living care without their LTCi.

From what I’ve seen with my clients during the past 25-plus years, the most important reason to own LTCi may be the lack of good judgment plus the common familial dysfunction that too often accompanies aging and decline.

Long-term care insurance provides a plan that plugs in and works. When need arises, no thoughts about which assets to liquidate to pay for LTC are necessary. Irrational thoughts of outliving savings are quashed. Thoughts of imposing on family members are minimized. LTCi can drastically reduce stress and increase quality outcomes.

The High Cost of Avoidance and Denial

January 20, 2020 by Honey Leveen Leave a Comment

Over the years, I’ve written multiple blogs posts about the importance of creating a solid long term care plan to address your late life wishes. Make the plan and share it with your family. And yet, time after time, I read horror stories about unnecessary suffering, neglect and even death because they never had “the conversation”. As if avoiding this important discussion gives them some artificial sense of control and safety. There is a cost of avoidance and it’s very high.

“I’d rather die than talk about this.”

The truth is that once chronic health problems arise, your ability to make good decisions often decreases. This is partly because your brain may have reduced cognitive powers. And also because making good choices becomes harder when you’re feeling panicked with fewer options. It’s really hard to see the big picture when it feels like your world is getting smaller.

Mr. & Mrs. Shaver Paid the Cost of Avoidance

As reported in the New York Times (Dec 2019), their love story is the thing movies are made of. A romantic courtship and a loving marriage of 60 years. Unfortunately, his wife starting showing signs of dementia. Even though his children encouraged hiring home care help, Mr. Shaver refused any discussion. “Mind your own business. I’m taking care of it.”

He had ample savings for their retirement, so we know the cost of hiring help was not the issue. As the sole caregiver to his wife, he was obviously aware of her declining state of mind. However, he was unwilling to make any move that would improve their environment.

It must have broken his heart to see the love of his life disappear from his life. She no longer recognized him or their daughters. One day, while she was asleep, her loving husband laid down in bed next to her and shot his wife. And then shot himself.

The Time to Plan is Now

I’ve been helping people create these plans for 30 years. One thing I’ve learned is that having such a plan in place provides a peace of mind and increases quality of living. Without the comfort of a strategy, the fear of aging only grows over the years. As you age, the concerns over injury (falling in the shower, tripping over furniture, dizziness from medications) can contribute to mounting fears.

Once the fear takes hold, it becomes harder to make clear and thoughtful decisions. I’ve done several blogs on age-related brain loss and cognitive decline.

For most of us, whether we’re middle class or more affluent, owning long term care insurance (LTCi) is critical for ensuring dignity, options, and access to quality long term care. But it’s not enough. You must have ongoing, difficult conversations with your family so everyone understands the outcome you desire.

Click here to receive a free, no-obligation quote for your own LTCi coverage. Your family will thank you.

Preventing Dementia? Walk Away From Those Apps

December 3, 2019 by Honey Leveen Leave a Comment

There’s been a lot written about the value of “brain games” to help reduce the risks of dementia and other loss of cognitive sharpness. In today’s technology-centric world, we have spent almost $2 billion on various brain training apps in 2018. This is four times the amount spent 2012, so they are really gaining popularity.

But are they working?

The most recent research shows mixed results. Sarah Lenz Lock is executive director of the Global Council on Brain Health. A respected expert in her field, Lock cautions, “Cognitive training has shown some promise, but people shouldn’t expect it to be a magic bullet.”

In fact, studies are now recommending a diversified approach combining brain training, healthy diet and exercise.

Reducing Risks of Dementia – A Walk In the Park

According to the New York Times, the World Health Organization (WHO) released new data on reducing risks of dementia. They found that these brain training apps do not show significant, consistent or long term improvement over time. Their recommendation is to focus on moving your body for 150 minutes each week. That’s about 30 minutes a day, taking off for weekends. This is completely manageable, isn’t it?

They emphasize that this activity must begin before signs of cognitive decline appear. Remember: this is about prevention, not cure.

The mind-body connection isn’t new and the evidence continues to build. Research finds that physical activity promotes growth and maintenance of neurons in seniors. And the benefits are much higher for those who enjoy cardio-based exercise instead of simple stretching.

So step to it! And enjoy the benefits of your activity for years to come.

Before you step away from your computer, consider another useful tool for your long term planning. Of course, I’m talking about long term care insurance (LTCi). Affordable premiums today can create a world of difference in the level of care you receive in the future. Click here to receive a free, no-obligation quote for your own LTCi coverage.

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.

Curing Alzheimer’s – Part 2 (See It. Acknowledge It.)

June 14, 2018 by Honey Leveen Leave a Comment

In my last blog post, I shared insights on the current challenges in funding research to support curing Alzheimer’s disease. You’d think that funding would be the biggest step in the treatment process. It’s not.

In order to develop and properly test potential cures, scientists need a viable population of test subjects to study. As Karen Ellen Foley wrote (Quartz, May 20, 2018), it’s incredibly hard to gather these patients. Once a patient appears to have the symptoms of Alzheimer’s, they have usually passed the stage where it can be treated. The damage to the neurons is irreversible and not suitable for testing new cures.

Recognizing Symptoms is Critical to Curing Alzheimer’s

In addition to the late timing of symptoms, there is another complication to the diagnosis process. Not only is it hard to recognize the slow shift in behavior, but patients are often surrounded by family and friends who would rather not admit that their loved one is in need of medical care.

Foley describes a gentleman whose early Alzheimer’s symptoms started in the mid-2000’s. He knew something was wrong because fixing things around the house became difficult and names of friends slipped his mind. He couldn’t remember how to cut his wife’s hair, which he’d been doing throughout their marriage. This man and his wife saw he was having problems and refused to admit it could be serious.

Ten years later, his behavior finally got extreme enough that his wife insisted he see a doctor. For ten years, he was allowed to ignore his medical condition. For ten years, he avoided treatment. And why? They were both afraid how the diagnosis would change their lives. The disease didn’t care. It continued to escalate, with or without their acceptance.

The great majority of my clients refuse to acknowledge how incapacitated they are by dementia, and their families often go out of their way to continue the ruse and deny the obvious.

We have had several dementia sufferers among the members of my Rotary club. Even with my vast experience with my clients who are cognitively impaired, I don’t always notice every case. Alzheimer’s disease is easy to cover up, at least in early-to-mid stages.

Know the Signs

A tell-tell sign of dementia is sometimes a vacuous or a scowling expression. I sometimes misinterpret their mood as, “I don’t want to talk with you”. Message received. I leave them alone. Only later, when I learn of their diagnosis, I can connect the dots. Withdrawal is a classic sign of dementia.

I’ve attended enough Alzheimer’s disease (AD) presentations to know that faulty business decisions are another primary indicator of AD. I’ve had more than one client who insisted they were able to manage their business affairs. When they fall behind in paying their bills, it looks like simple forgetfulness. When one of those bills is their Long Term Care insurance (LTCi) premium, the results are catastrophic.

The Enabling Spouse

In an attempt to keep things feeling “normal”, the spouse will often avoid stepping in to help their loved one. They don’t take over the paying of bills. They make excuses and pretend nothing is wrong.

They still allow their spouse to drive!

The thought of this is terrifying to me. I have a friend who has a dementia diagnosis. She is still highly functional, and still driving, despite the fact that she’s already had a couple of accidents!

I’ve blogged about age-related, normal cognitive decline. This is not what I’m describing, yet this is what people want to believe is happening.

Admitting you have dementia is difficult and requires an honest conversation. Maybe multiple conversations. It creates the possibility for earlier intervention and a life of more grace and dignity. It will allow for more open relationships with friends and family members and reduce stress for the patient and family.

Advance planning for long term care (LTC) is the best way to ensure dignity, options, choices, grace. When you’re ready to explore your options, click here for your personal quote.

Request a Free, No-Obligation LTCi Quote

Search Results for: cognitive decline

Does Your Long-Term Care Plan Account for Your Own Normal, Natural Cognitive Decline?

The High Cost of Illiteracy You Haven’t Thought About

Why Is It Harder For the Elderly?

Plan For Your Future Health Literacy

Curing Alzheimer’s – Part 2 (See It. Acknowledge It.)

Recognizing Symptoms is Critical to Curing Alzheimer’s

Know the Signs

The Enabling Spouse

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