Protecting the Financial Future of those Diagnosed with Dementia

As the aging population increases over time, it is not a surprise to understand that the numbers of grown individuals diagnosed with dementia are rising as well.  These individuals, whether their dementia is mild or severe, are at high risk of and are victims of financial abuse due to their cognitive impairment. People with dementia and their families are in need of support to manage their money and stay safe from financial abuse.

In the article, Short Changed: Protecting people with dementia from financial abuse, information from surveys of people with dementia (47), their caregivers (104) and Alzheimer’s Society staff (86) were gathered, and they had found that the following are dementiaissues faced by people with dementia and careers when managing money:

People with dementia

-Symptoms of dementia largely affect the individual’s ability to manage their finances. In the survey, 76% of people had experienced difficulties managing their finance.

-Individuals often find it difficult or feel uncomfortable talking about financial issues, especially in family settings.

-Individuals claimed they sometimes felt pressured when shopping in unfamiliar places because others were not aware they had dementia.

-Highly technical personal banking security makes it difficult for individuals with dementia to manage their finance.

Caregivers

-More than a third (36%) of caregivers had experienced problems managing the money of the individual they supported

-Many reported psychological and emotional barriers when taking control of somebody else’s finances

-It is strenuous to suddenly take over as the primary person in charge of money in a relationship

-Lack of information about how to access support with managing money and accessing entitlements, and overall inadequate financial advice.

-Many caregivers reported difficulties dealing with banks and other service providers when trying to take over someone’s finances, leaving them feeling unsupported and confused.

Perceptions and risks of financial abuse

-15% of caregivers reported that the person they cared for had been subject to some kind of financial abuse.

-People with dementia and caregivers felt that a diagnosis of dementia could make people more vulnerable to financial abuse.

-Many people knew someone or had themselves experienced low-level financial abuse such as scams and cold calling. Some cited more serious abuse, such as cash being stolen from accounts or familial financial abuse.

-All groups thought that sometimes family and friends could financially abuse people with dementia. They felt this type of abuse was perhaps the most difficult to define and talk openly about.

-People living alone without any kind of support were felt to be the most at risk from exploitation because they are less likely to access services

-Nearly two-thirds (62%) of caregivers said unsolicited or unscrupulous cold callers or salespeople had approached the person they care for.

-Professionals felt that financial discussions were still taboo or difficult to talk about with families, however without asking them it was hard to approach the issue.

-Professionals reported that they came across financial abuse quite often, and that it was probably under-reported due to the large amount that takes place within families and is not known about.

-It is often difficult to prove when financial abuse has occurred, particularly when the person with dementia cannot provide sufficient detail about what has happened.

-Professionals perceived bank procedures and rules as significant barriers towards safeguarding vulnerable adults from financial abuse.

RecommendationsMedMinder, pill dispenser.

-Recognize that people with dementia are at much higher risk of financial abuse.

-Improve knowledge and awareness about financial management and planning among 
people with dementia, caregivers and professionals.

-Improve awareness of effective prevention mechanisms to help stop people with dementia being repeatedly targeted by cold callers and scams.

-Improve community support services for people with dementia to manage their money.

-Ensure that banking systems are better equipped to support people with dementia and caregivers to manage money safely:

-The powers of the Mental Capacity Act should be consistently applied across all banks and financial institutions

-Increase access to independent advocacy for people with dementia.

-Bring together adult safeguarding and financial assessment teams within local authorities to work collaboratively on cases of suspected financial abuse involving a person with dementia.

-Improve data sharing between agencies and local areas and ensure that multi-agency policies are consistently implemented to prevent and respond to financial abuse.

 

With financial transactions becoming more personalized and differentiated- this may pose serious challenges to people with dementia, who require support from others to manage their money and stay safe from financial abuse.

How do you think we can best educate other professionals to help safeguard the finances and futures of individuals with dementia? It is imperative for us to work on this, beginning with a proper diagnosis. What are your takes on this matter? Do you believe there are other preventative ways to protect the futures of the people we care about and love?

Medminder|Wireless Pill Dispenser & Medication Management Service

Your comments and questions will be openly welcomed.

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Many Seniors’ Emergency Visits due to Poor Medication Management

Adverse drug reactions and unintended overdoses account for 99,628 of U.S. hospitalizations of individuals 65 years and older, according to a study conducted by researchers at the Centers for Disease Control. Nearly 50% of those individuals were 80 years old and older.

The study was conducted over the period 2007 to 2009 using 5077 hospitalizations.  Nearly two thirds of hospitalizations were due to unintentional overdoses (65.7%.1 to 71.3) in older adults.

Four commonly used medications, such as diabetes pills and blood thinners, were implicated alone or in combination in 67% of hospitalizations.  The four drugs were:

  • Warfarin (33.3%)
  • Insulin (13.9%)
  • Oral antiplatelet agents (13.3%)
  • Oral hypoglycemic agents (10.7%)

High-risk medications, such as opiate painkillers, were implicated in only 1.2% of hospitalizations.

These findings suggest that better medication management, especially for those with chronic diseases, can lead to a reduction in very costly emergency room visits by older adults.

MedMinder’s Maya is a Leader in Medication Management

On the market for nearly three years, the Maya pillbox from MedMinder Systems uses cellular technology to provide an easy to use, flexible and affordable solution to medication adherence. Learn more about the benefits of Maya here.

To learn more about the benefits of Maya, click the link below to view a brief, informative video.

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Balancing your Dual Role as a Working Caregiver

According to AARP, an estimated 25.5 million Americans are balancing work responsibilities with caring for a relative age 50 or older.  And, the financial, physical and emotional demands of a working caregiver are taking their toll.  In a June 2011 report by the MetLife Mature Market Institute, the 50+ adult children who work and provide care to a parent are more likely to have fair or poor health compared to those who don’t provide care for elderly relatives.

From the same MetLife report, the proportion of adult children providing personal care and/or financial assistance to a parent has more than tripled over the past 15 years.  Currently, 25% of adult children, mainly Baby Boomers, provide these types of care to a parent.

A confluence of demographic factors has led to what is arguably an elder care crisis in the U.S.,

including:

  • 74 million baby boomers (born 1946-1964) can expect to live longer
  • Americans are working beyond retirement age
  • Most women are working outside the home
  • Smaller families means fewer siblings to share caregiving responsibilities
  • Prohibitive cost of institutional care (assisted living and nursing homes)

Challenges in the Workplace

Many employers are sympathetic to their employees faced with caregiving responsibilities.  Check with the Human Resources Department to find out company policies regarding caregivers.  Many companies have compiled a list of resources to help caregivers: community services, support groups and counseling, as well as free or affordable legal and financial advice.

 

Ask your Human Resources Department for information about the Family and Medical Leave Act.

http://www.dol.gov/whd/fmla/ Under the FMLA, eligible workers are entitled to 12 weeks per

12-month period of unpaid leave for family caregiving without the loss of job security or health benefits.

You should be upfront with your supervisor about your role as caregiver.  Susan Hackley of Harvard Law School recommends the following three talking points when meeting with your boss:

1)      Share your situation and explain you can do your job while caring for your family

2)      Remind the boss that you are committed to your job and want to be honest

3)      Describe the problem, suggest solution – working from home, leaving early and

making up the time, taking a paid or unpaid leave.  Invite your boss to discuss his/her concerns.

However, some companies may be less flexible and supportive.  If there are no formal policies at your company, the question becomes — should you approach your supervisor to discuss your role as a caregiver?  Many working caregivers are reluctant to discuss their caregiving responsibilities because they believe they will suffer professionally, such as being overlooked for promotion, not being assigned high visibility projects, or experience resentment from younger colleagues without children or elderly parents who can’t identify with your daily challenge of balancing work and caregiving.  They’re wondering why you just can’t hire someone!!

Whether to tell your boss about your caregiving responsibilities can be a difficult decision to make. It’s certainly easier to be up front and honest with your supervisor rather than suffering the enormous stress of living “a secret life.”

When you sit down with your boss to discuss alternatives, be certain to discuss the option to telecommute one or two days a week.  As prices of office equipment and software continue to decrease, more and more Americans already have everything they need to establish a home office  –  a  computer, 4-1 color printer (print, copy, scan & fax) and a smart phone.

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Cutting Costs: Healthcare on a Budget

The current financial state of the union continues to broach the inevitability of scaled down funding for health care and medical aid. In times like these it is important to analyze you or your loved one’s spending habits, especially relating to healthcare costs, and see if there is anything you can do to lead a more frugal, but still health-conscious, lifestyle.

Firstly:

You must be willing to be up-front about your financial situation. If you are hurting financially, your primary care physician should know. It effects decision-making on both ends, and lets you and your doctor work together to come to the best possible treatment conclusion, both financially and health-wise.

Preventative Treatment:

Preventive treatments and diagnostic tests are important, but not as important as issues that require immediate medical attention. If a financial situation ever gets to the point where you are forced to prioritize treatment, remember that preventative treatments can be postponed until you get your feet back on the fiscal ground.

Diet and Exercise:

This always comes off as a cliched platitude, but the best way to cut medical costs is to avoid health problems in the first place. Keeping to an exercise regimen not only actively combats obesity, but it also helps keep your immune system running optimally and ready to combat possible diseases. Diet works in a very similar way. Maintaining a proper balance of the food groups combats obesity and gives your body the nutrients it needs to combat specific diseases that spring from vitamin and mineral deficiencies, among other things.

Reevaluate your Current Plan:

When’s the last time you actually took a look at your healthcare plan? Is it optimal? Have you taken a look at any of the other options out there? Just because you’ve been with a company for a long time doesn’t mean they are currently offering you the best possible rate. Deductibles fluctuate depend on different companies and certain plans may be better for patients with certain illnesses. Make sure your plan is optimized for you and your issues.

Don’t Miss your Medicine:

The reason we developed Maya was to create an easy, simple-to-use system that would increase your adherence to your current prescription. Missing medicine is more costly than you probably think. Missed medicine accounts for “33-69% of all medication-related hospital admissions in the US at a cost of $100 billion.” In fact, it costs YOU, the patient, an average of $2000 a year in additional costs, whether you know it or not. Sticking to an adherence plan is hard, but we have created tools to make it easier.

Do you have any cost-cutting ideas for health care? How do you remember to take your medicine?


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Adhering to a Regimen: Continuing Concerns

Adhering to a medicinal regimen is an issue that we’ve been trying to tackle since the inception of Medminder and in turn the Maya unit. Medication noncompliance, or the act of not taking your medicine (either all the time or at the right time), is a very real issue that results in greater levels of hospitalization and death. To get the idea of how “real” the medication noncompliance problem is, I feel it is best to quote some very real statistics.

Each year, 125,000 people die due to medicinal noncompliance.

It almost sounds like a scare tactic, but it is one hundred percent true. Every year, 125,000 people would still be alive if they were able to stick to their regimen and take the medicine prescribed to them for whatever condition they may have. In order to combat this, many healthcare professionals and their reflective organizations are beginning to experiment with new tactics in order to combat the very real issue of medical non-compliance.

“Physicians working in the Geisinger Health System in Pennsylvania have electronic access to their patients’ prescription refill records from the previous month as part of a pilot program launched in February.” This puts a smile on our faces at Medminder because it shows that healthcare professionals are not only seeing the value in the new remote-monitoring medical technology, but also because it shows their willingness to shift paradigms into a new era of medical thought.

It reminds me of another similar technological advance, the invention of plastic. When the medical community realized the tangible benefits plastic could provide, they began adopting it across the nation. As a result, the United States currently has the lowest rate of cross-staph infections in the world, directly correlated to its use of plastics in the field of medicine. In a way, plastic was a bridge to an entirely new era in medical technology, because it allowed for the development of small, portable, low-production-cost medical devices such as pacemakers, oxygen delivery systems, and even (big smile) automated pillboxes.

Unless the industry continues the trend of utilizing new medical technology, patients will continue to fail to follow their regimen, continue with their medication noncompliance, and continue to have health issues because of it. Did you know that patients with chronic conditions that require adherence to a regimen are still not compliant around fifty percent of the time. That is astounding to us. The technology is there, people just need to shift paradigms and start to adopt it.

To close, we will first share a very relevant quote from Niteesh Choudhry, assistant professor of medicine at Harvard Medical School. “We don’t need to pay to get a new drug developed or a new therapy prescribed. We just have to find a way to get people to take the medications they’ve already been prescribed.”

What makes it easier for you to take your medicine? Do you have any tricks you use to remember to adhere?

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Top Trending in Senior Care

I recently came across a 2009 blog that attempted to predict the top 10 hot trends in senior care. Trailing behind things like For Profit Social Workers, Peer Care, and Parent Sitters was number eight, Electronic Alert Devices, and number ten, Big Brother.

 

"Is this the image we want to be associated with Remote Patient Monitoring?"

Big Brother was the blog’s way of describing the plethora of “granny cams” (their description, not mine), motion detectors, and other monitoring tools that were at one point used to observe children remotely. These products have now been revamped for senior use, allowing better observance with less man-power. The term, Big Brother, is an homage to the 1948 Dystopian novel, 1984. The term has negative connotations, implying a voyeuristic mentality used for control. In regards to senior care, I disagree with that assertion and therefore the label. It is bad form to draw parallels between the senior care remote monitoring technological advances and the Stalin-esque shadow leader of 40′s lore. In truth, the service provided by this monitoring hardware is a boon to senior care.

At a time when health care expenses are trending higher and higher, any means of cutting costs while still maintaining effective care should be lauded, not loathed. Remote monitoring saves money by lessening the need for constant physical peer-to-peer supervision. According to research firm Juniper Research, cost savings from mobile health monitoring is going to reach a minimum of $1.9 billion dollars globally by 2014. That is the conservative estimate. In fact, the way things are trending, mobile health monitoring could save as much as $5.8 billion dollars globally in the next three years.

There are two ways to look at it. Either its $1.9 – 5.8 billion dollars that we didn’t have to spend in the first place or its $1.9 to $5.8 billion dollars that we can now allocate to other healthcare efforts. Either way, the benefit of remote patient monitoring is undeniable, which is why the negative branding, Big Brother, is so offensive to me. People still seem to fear technology, when it saves both lives and money to a degree that should be praised.

Medminder’s Maya product could be considered an amalgamation of number eight and ten on that list. It has a monitoring component to it, alerting others if the user doesn’t take their medicine on time. Yet it is also an Electronic Alert Device, designed to make it so the user doesn’t forget to take their medicine in the first place.

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Passive Patient Monitoring Devices Provide Best Solution

There is virtually universal agreement that the rise in U.S. health care costs is unsustainable; on the other hand, there is practically no agreement on how to contain these costs.

As we age, medical expenses, doctors’ office visits, prescription drugs and hospital/rehab stays increase from either sudden illnesses, accidents or chronic diseases.  Many will agree that the Baby Boomer cohort (born between 1946 and 1964 and 78 million strong!!) is the most logical place to start to dramatically cut healthcare costs.

Fortunately, the Baby Boomer market (at least the younger segment) for tech-enabled healthcare products embraces these devices as a cost-effective solution to the single most critical issue to individuals as they age: to maintain control of their lives and their independence.  An important benefit of the widespread adoption of at-home, self-care medical devices is the easing of the overburdened U.S. healthcare system, as seniors are able to age in place longer.

The size of the potential market for remote (home) patient monitoring devices has resulted in the rapid growth of medical device/equipment manufacturers who are finding ways to deliver quality care to the aging population through lower-cost, technology-enabled products.

 

Is Passive Wireless Home Health Monitoring the Wave of the Future?

Robin Felder, Associate Director of Clinical Chemistry at the University of Virginia would answer a resounding “Yes.”  Felder cites a 2007 paper published in the Journal of Telemedicine and e-Health that shows a 74% reduction in the cost of caring for patients in assisted living with the use of passive monitoring devices.  Most notably, with the use of passive devices, the rate of urinary tract infections in the study group dropped to nearly zero.

Felder conducts research in medical automation, robotics and process improvement in clinical laboratories.  The concept of passive patient monitoring devices means the patient doesn’t have to think about the device to use it.

As a speaker at the February 2011 Health Information and Management Systems Society (HIMSS) conference, Felder claimed that 95% of home blood-pressure monitors eventually wind up in the drawer because patients have to go out of their way to use them.  In the near future, Felder expects to see clothing embedded with sensors as well as built-in sensors in common bathroom fixtures to measure weight, body temperature and other vitals.  The data would be transmitted to web-based applications for aggregation and interpretation.

Also available from pharmaceutical companies is a digestible chip placed in a pill to measure whether the drug was taken, monitor the stomach pH and other vitals – transmitting the data to a cell phone via Bluetooth.  Contact lenses have also been developed with sensors that measure glucose levels in the tears of diabetic patients.  Many of these sensors add just pennies to an existing product.

When given the choice, it’s human nature to take the path of least resistance.  That’s why Felder believes that only passive patient monitoring devices can be an effective solution.

 

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The Village Concept to Aging in Place


“It takes a village – to age successfully.”

According to AARP, the need for long-term care in the U.S. will double between 2000 and 2040.

The “village movement” is just one of many solutions to help the aging population stay in their homes and/or communities for as long as possible.  It’s a simple concept in which senior residents in a community join together to form a village to provide support and services to members of the village.  In this way, independent living for an extended period of time can become a reality

There are many variations on the village; some charge annual dues, while others are free of charge.  One of the first villages was created by residents in Boston’s Beacon Hill in 2001.  This upscale neighborhood charges $640 annually for an individual and $890 annually for a household.  This is a reasonable amount to pay for delaying or avoiding institutional care which averages more than $39,000 a year for assisted living and over $77,000 a year for nursing home care.  Significant cost savings in the village model may also be realized by government programs like Medicare and Medicaid.

Basic assistance with village members’ daily needs is the core principle of the village model.  Services offered include:

  • Personalized transportation
  • Meal preparation or delivery
  • Routine housecleaning and yard work
  • Access to discounted home repair and maintenance services from local businesses

An innovative model, the village is a member-driven organization that is relatively simple to implement.  Residents of a community get together to incorporate as a nonprofit.  Residents become members and typically pay an annual fee.  The annual fee is used by the Village to provide members with services as needed.  Many villages depend heavily on volunteers to provide services.  Some villages work on a barter system, where members who provide services earn credits and can “bank” them to spend when they need assistance themselves.

Many believe that volunteer-based communities are one of the best solutions for helping the rapidly aging U.S. population to successfully balance the aging process with the desire to remain safely and securely in their homes as they age.

 

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The Economy and Senior Care

Have you taken a look at the Stock Market recently. To say the United States economy is at a low point is pretty close to an understatement. With the threat of a double-dip recession, much of the government-provided financial aid towards the health care industry is facing the threat of non-existence. Senior care is expected to be among the first government-assisted amenities cut. With that in mind, did you know that more than 43 million Americans currently provide care for an ailing senior.  That is representative of more than fifteen percent of the U.S. population. More importantly, that number is going to continue to grow as the parents of the baby boomer generation get older and require more care. So what does that mean for you?

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Aging in Place Requires Strong Community Involvement

Demographics tell the story.
From now until 2030, 10,000 people a day in the U.S. will celebrate their 65th birthday. The number ofAmericans over 65 is expected to reach 71.5 million by 2020, over 20% of the population. The demandon America’s cities and towns to become “elder friendly livable communities” is daunting. You may already have a plan and a budget to modify your home to meet your needs as you age, butwhat about your community? What is being done to deliver local services to ensure that your quality oflife is not compromised as you age.
These services, important to any age group, are especially vital to older Americans; services such as
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