WORLD HOSPICE AND PALLIATIVE CARE DAY: October 13, 2012

October 13th, 2012 is World Hospice and Palliative Care. The theme for this year is “Living to the end: palliative care for an aging population”.

World Hospice and Palliative Care Day is a “unified day of action to celebrate and support hospice and palliative care around the world.”

Palliative care, as defined by the World Health Organization (WHO), “starts from the time a life-threatening illness is diagnosed and should be offered alongside treatment. It has become invaluable for patients and their families who are in need of physical, psychosocial, and spiritual support.” It is grounded on the premise that every human being is entitled to adequate care and that no one should suffer unnecessarily.

The specific palliative care needs of older people are increasingly being recognized due to the burden of non-communicable diseases on older people as well as the ageing HIV pandemic in the era of anti-retroviral therapy. As the “Worldwide Hospice and Palliative Care Online” points out in their newsletter,

“The palliative care needs of older people are complex and often neglected. The issue is globally applicable and incorporates older people living with life-limiting diseases as well as the issue of older people as carers of people with life-limiting illness, particularly HIV and AIDS, in developing countries.”

For More information visit:

http://www.worldday.org/

How LTC Insurance Can Help You Protect Your Assets

How will you pay for long term care? The sad fact is that most people don’t know the answer to that question. But a solution is available.

As baby boomers leave their careers behind, long term care insurance will become very important in their financial strategies. The reasons to get an LTC policy after age 50 are very compelling.

Your premium payments buy you access to a large pool of money which can be used to pay for long term care costs. By paying for LTC out of that pool of money, you can preserve your retirement savings and income.

The cost of assisted living or nursing home care alone could motivate you to pay the premiums. Genworth Financial conducts a respected annual Cost of Care Survey to gauge the price of long term care in the U.S. The 2010 report found that:

  • In 2010, the median annual cost of a private room in a nursing home is $75,190 or $206 per day – $14,965 more than it  was in 2005.
  • A private one-bedroom unit in an assisted living facility has a median cost of $3,185 a month – which is 12% higher than it was in 2009.
  • The median payment to a non-Medicare certified, state-licensed home health aide in 2010 is $19 per hour, up 2.7% from 2009.1

The most recent (2009) estimate of LTC costs from the U.S. Department of Health and Human Services was even higher than the Genworth survey – $219 per day for a private room in a nursing home, or $79,935 per year.2

Can you imagine spending an extra $30-80K out of your retirement savings in a year? What if you had to do it for more than one year? (more…)

Group Yoga Helps Stroke Victims Improve Balance

Group yoga can improve motor function and balance in stroke survivors, even if they don’t begin yoga until six months or more after the stroke and no longer receive rehabilitative care, according to new research in the American Heart Association journal Stroke. One patient was in his 90s.

In a small pilot study, researchers tested the potential benefits of yoga among chronic stroke survivors — those whose stroke occurred more than six months earlier.

“For people with chronic stroke, something like yoga in a group environment is cost effective and appears to improve motor function and balance,” said Arlene Schmid, Ph.D., O.T.R., lead researcher and a rehabilitation research scientist at Roudebush Veterans Administration-Medical Center and Indiana University, Department of Occupational Therapy in Indianapolis, Ind.

The study’s 47 participants, about three-quarters of them male veterans, were divided into three groups: twice-weekly group yoga for eight weeks; a “yoga-plus” group, which met twice weekly and had a relaxation recording to use at least three times a week; and a usual medical care group that did no rehabilitation.

The yoga classes, taught by a registered yoga therapist, included modified yoga postures, relaxation, and meditation. Classes grew more challenging each week.

Compared with patients in the usual-care group, those who completed yoga or yoga-plus significantly improved their balance.

Balance problems frequently last long after a person suffers a stroke, and are related to greater disability and a higher risk of falls, researchers said.

Furthermore, survivors in the yoga groups had improved scores for independence and quality of life and were less afraid of falling. (more…)

Why Estate Planning Is Important – Not Just for Wealthy

You may hear a lot about retirement planning. Estate planning is an essential part of retirement planning, although many people are not aware of all that it encompasses. So they put it off until it is often too late. Let’s take a look at what estate planning addresses and why it is important to begin it ASAP.

Estate planning addresses these key questions:

  • Do you want input into how you would like to be taken care of when you become incapacitated?
  • Do you want to be sure that your assets go to the people you choose when you die?
  • Would you like to eliminate or minimize needless loss of some or all of your assets when you need long-term care?
  • Would you like to minimize excessive taxes on what you want to give your beneficiaries?
  • Do you want to prevent public exposure, costs, and delays of probate?

These are important questions and virtually everyone will answer ‘yes’ to all of them. Making arrangements to satisfy each question is what estate planning is all about.

But what is especially important is making arrangements to address these questions ASAP because of these four circumstances: (more…)

Living Trusts – Know The Facts

You can use a ‘living trust’ to pass your property on to others according to the rules of the trust, while bypassing the rules of probate and its time-consuming process. Let’s clarify some facts about Living Trusts.

Like all trusts, it has a trust document that rules on how the trustee must handle the trust’s property for the trust beneficiaries. Typically, you have the trust set up according to your wishes with you as a co-trustee and fund it with your property for the benefit of your children when you die. The trust – not you – is then owner of any property put into it. So you must re-title all that property in the trust’s name. Drawing up the trust and changing titles are costs to you.

At your death, anything owned in your name will go through probate – where the court determines and publicizes who gets your property according to both your will and the rules of your state’s inheritance laws. To bypass probate, you must get all your property out of your name. Also, create a ‘pour-over will’ that pours whatever you forgot to re-title into your trust at death.

The typical probate costs you will bypass are:

  • Filing and court fees which are at least 3% of the value of the estate in most states.
  • Executor’s commission in most states is a percentage of the value of the probate estate.
  • Lawyer’s fees.

Other property that also bypasses probate are:

  • Property that is owned jointly with the right of survivorship but not tenants-in-common.
  • Pension, IRA, and Keogh plan benefits with a named beneficiary.
  • Life insurance death benefits payable to a named beneficiary.
  • Government bonds and bank accounts with a designated pay-on-death beneficiary.

A Key Point to remember: Your living Trust is considered your property for taxation purposes.

A living trust is a revocable trust. That means you can dissolve it and take back your property into your name. Whether or not you do – is immaterial. But because of this ‘control’, the IRS deems it essentially your property.

As a result, your living trust property is a part of your property for tax purposes. As trustee you are liable for paying yearly taxes on all taxable gains and earnings of your trust property. You can add this income directly on your own 1040 form when you do your taxes.

Your living trust property is also subject to your estate taxation when you die. So you do not save on estate taxes by putting property in your living trust. That is not its purpose.

New Breakthrough Proven to Slow Aging at the Cellular Level

New Paradigm in Health and Aging Featured on ABC Primetime News

The Aging problem…

There’s nothing like a new car, and you never forget the day your drive your first one off the lot. But eventually your new car ages, the catalytic converter becomes less effective, the exhaust isn’t very clean, things begin to rust and the engine suffers wear and tear.

Our cells are like car engines. They have the same combustion process, produce some of the same byproducts and clean up with similar catalytic converters. When we’re young, our enzymes (our cells’ catalytic converters) function well and do a good job cleaning the toxic byproducts our bodies generate. But unfortunately, like cars, our bodies don’t always function like new. As we age, our bodies produce more free radicals and less of the special enzymes that fight free radicals causing oxidative stress. The damage by oxidative stress leads to the symptoms of aging.

We obtain energy by burning fuel with oxygen-that is, by combining digested food with oxygen from the air we breathe. This is a controlled metabolic process that, unfortunately, also generates dangerous byproducts. These include free radicals-electronically unstable atoms or molecules capable of stripping electrons from any other molecules they meet in an effort to achieve stability. In their wake they create even more unstable molecules that attack their neighbors in domino-like chain reactions. This causes toxic effects that damage all components of the cell, including proteins, lipids and DNA.

What is oxidative stress?

Oxidative stress represents an imbalance between the production of oxygen and the body’s ability to detoxify and repair the damage caused at the cellular level. In other words, although we need oxygen to live, high concentrations of it are actually corrosive and toxic.

While one antioxidant molecule can fight only one or two free radicals before it is depleted, the body’s free radical-fighting enzymes can each eliminate up to 1 million molecules per second, every second. The most effective way to fight free radicals and the oxidative stress they cause is to trigger the body to produce its own free radical-fighting enzymes. Protandim activates the body’s natural enzymes that substantially reduce free radicals.

How Protandim works…

Our bodies already contain the information how to effectively combat stressful situations, such as oxidative stress and chronic inflammation. That information is stored in our genes. The secret lies in being able to instruct cells regarding the implementation of that information. Enter Protandim.

Protandim, the most potent and the only commercially available Nrf2 Synergizer dietary supplement, induces cells to produce more of the genetically encoded catalytic defense systems. Every enzyme molecule produced by this approach can eliminate up to 1 million free radicals per second, every second.

Protandim achieves this feat by activating a signaling molecule called Nrf2, the master regulator of the body’s aging process. Nrf2 can switch on protective genes and switch off genes that may have a negative effect on health.

When this protein messenger, Nrf2, is activated, it enters the nucleus of every cell and turns on hundreds of the body’s survival genes. These genes enable cells to survive in the face of several different kinds of stress, especially oxidative stress. Nrf2 also affects hundreds of other genes, pro-inflammatory and pro-fibrotic genes, by turning them down.

Thus Protandim, a master regulator of the aging process and an Nrf2 synergizer, activates survival genes, including antioxidant genes that keep us safe from free radicals and oxidants. It also turns down genes that perpetuate inflammation and genes that encourage slow, progressive fibrosis to take place. Together these actions provide a remarkable promise of protections from many kinds of age-related health conditions.

See the “ABC Primetime Special Report” @ www.abcliveit.com

   For more information contact:  Nan Cutler of Best Health Group

                                besthealth3@yahoo.com or  970-215-7660

                                               www.lifevantage.com/thrive

Introducing Help to an Elderly Loved One

An elderly person’s ability to care for himself will usually decline gradually. Deciding what level of help is required at any precise point in time can be difficult.

Experts advise caretakers to watch for significant shifts in behavior. Things like missed appointments, unpaid bills and a lack of interest in favorite activities may be causes for concern. These should prompt a reevaluation of an elderly loved one’s level of care.

Keeping an elderly loved one in one’s home can be a challenge, but there are services available to help. Adult day facilities provide meals, company, activities and medical care. Medicaid-eligible seniors are able to enter some of these programs at no cost.

Senior Corps is another helpful service. Senior Corps volunteers visit the elderly at home to provide companionship. Occupational therapists can help you alter a home to make it more usable and safe for an elderly person.

Persuading an elderly loved one to accept help can be a struggle. Giving orders is likely to meet resistance. Let him or her know that he is doing you a favor by accepting care by putting your mind at ease. Making many changes at once can be bewildering, so try to start small. Hiring someone to assist with a chore that he or she dislikes is a good way to start introducing help.

Source: How to Help an Aging Parent

Employee or Contractor: Consequences about Hiring ‘Care’ Help at Home

Older retirees often need help around the house. You may hire someone for house cleaning or to help you with some Activities of Daily Living (ADLs) associated with long-term care. What are your tax obligations for this person?

It depends on whether he or she is your employee or simply a contractor. If she is your employee and you pay her more than $1,700 during the year (for 2010, Notice 2008-103; 2008-46 IRB 1156) the IRS requires you to deduct from her wages Social Security and Medicare taxes. But paying her less than $1,700 releases you of any tax obligation for her even if she is an employee.

If she is a contractor, she is responsible for paying her own taxes, leaving you with no tax obligation for her. This is clearly less burdensome for you. So when is a person a contractor versus your employee?

Contractor or Employee?

The IRS[1] says a worker is your employee if you can control not only what work is done, but how it is done. And, it does not matter whether it’s full time or part time work, or how you pay her – hourly or otherwise.

As an example of an employee relationship, the IRS says, “You pay Betty Shore to babysit your child and do light housework four days a week in your home. Betty follows your specific instructions about household and child care procedures. You provide the household equipment and supplies that Betty needs to do her work. Betty is your household employee.”

On the other hand, if only the worker can control how the work is done, she is not your employee but is self-employed. Self-employed workers usually provide their own tools and offer services to the general public as an independent business.

As an example of a ‘non-employee’, the IRA says, “You made an agreement with John Peters to care for your lawn. John runs a lawn care business and offers his services to the general public. He provides his own tools and supplies, and he hires and pays any helpers he needs. Neither John nor his helpers are your household employees.”

Note that ‘employee status’ requires that you have control over the ‘how to – instructions’ not just the end result of the work; and, that you supply the ‘tools’ to achieve the ‘end result’; and that you did not make an ‘agreement’ for the end result as ‘contracted’ work. Consider these points well when you seek help at home.

The IRS says not to let the worker talk you into paying cash and not reporting the taxes; if the worker ever turns on you, he or she can get the IRS to require you to pay these amounts, as well as penalties and interest.

Professional Cuddler Provides Comfort to Many

Professional Cuddler

 

As a professional cuddler, Lee Frank has felt the love for 25 years. Her role at The Cradle adoption agency in Evanston, Illinois is to hold the babies who are waiting to be adopted.

“It’s part of me, the need to nurture,” she says. This also explains why she is notably one of the best gardeners in the northern suburbs of Chicago.

Before moving to a condominium, Lee had a garden where every year she grew more than 1,000 plants from seed. Her garden was awarded a Grand Prize from the Men’s Garden Club of the North Shore, beating out full-time gardeners.

She was honored as a Super Senior by the NSSC this year, and she was nominated by the North Shore Garden Club, a group dedicated to beautification, education and conservation. She’s been a member since 1983 and has served as the club’s president since 2006. The club puts on one of the area’s premier garden walks to raise money for scholarship and conservation organizations, including the Chicago Botanic Garden.

She is also board secretary and a founding member of Book Worm Angels, a literacy organization that has collected almost 2 million books for 8,000 children in 200 schools in underprivileged areas of Chicago over the past 10 years.

And what motivates all this giving back? “It’s almost like a compulsion for me to share,” she says. “To give, that’s what’s meaningful in life. I try to make the world better with the gifts I have.”

Revised from an article on www.makeitbetter.com.

In Search of an Elder Law Attorney, A Geriatric Care Manager and an Ombudsman

When a senior needs reputable guidance, locating a qualified professional takes research and patience. Professionals such as elder law attorneys, ombudsman and geriatric care managers, who specialize in working with seniors, focus on the needs of seniors in a particular area and can provide beneficial services.

A good way to start searching for a professional is to ask friends, clergy and other professionals for referrals. If a senior knows a trusted professional, that professional would naturally have contacts in other areas. If a direct referral is not a viable option, seniors can locate elder-focused professionals in other ways. The CSA Locator is a great way to find professionals who have gained and maintained the Certified Senior Advisor designation. Click here to search for a CSA in your area.

Elder Law Attorney

An elder law attorney is responsible for understanding many areas of law, including Medicare and Medicaid, senior housing, estate and trust planning, and health care directives. A senior needs to find out if an elder law attorney has comprehensive knowledge in all of these areas. A senior’s future, family and estate are at stake, so finding an experienced and trustworthy elder law attorney is essential. (more…)