Yearly Archives: 2015

Signs of Elderly Depression

One in five Americans aged 65 and older are affected by depression. That means over 20 percent of the aging population is affected, making recognizing signs of elderly depression in the elderly increasingly important.

Although the rate of depression in the elderly population is relatively high, that does not mean that it is a normal part of aging. Depression can affect anyone, at any age, but there are several risk factors that put older adults at higher risk.

Risk Factors For Depression In Older Adults

  1. Difficult life events and changes in personal circumstances
  2. Losing loved ones and friends
  3. Loneliness and isolation
  4. Lack of social support
  5. Pain and physical illness
  6. Being a victim of crime or abuse
  7. Financial crisis
  8. Family history or past episodes of depression
  9. Moving accommodations
  10. Alcohol abuse
  11. Over medicating

Recognizing the risk factors for older adults allows you to realize when a loved one might be at risk for depression, and to be able to prevent possible negative repercussions. As the risk factors vary with different age groups, it is important to be familiar with the factors for older adults specifically. Elderly people also display symptoms of depression differently than younger adults, so it is important to recognize age-specific symptoms of depression as well.

Symptoms Of Depression In Older Adults

  1. Psychotic Symptoms
    1. Delusions
    2. Auditory hallucinations
    3. Catatonic features
  2. Cognitive Symptoms
    1. Disorientation
    2. Memory loss
    3. Poor concentration
    4. Easily distracted
    5. Apathy
  3. Behavioral Symptoms
    1. Feeling melancholy
    2. Anorexia or excessive eating
    3. Insomnia or disrupted sleep patterns
    4. Loss of interest in hobbies and activities
    5. Thoughts of suicide
    6. Anergia
    7. Inappropriate feelings of guilt
    8. Pyschomotor retardation
    9. Note: sometimes medications can cause some of these same symptoms

Depression is a serious illness, and whether it affects people young or old, the condition's many symptoms make it very difficult for the individual to overcome it, or find a way out on their own. While depression affects around 6 million Americans aged 65 and over, only about 10 percent actually receive treatment. Perhaps this is because risk factors and symptoms are different in older adults and make recognizing the disease more difficult. Another factor could be the fact that seniors were raised in a generation when the disease was a stigma, and are afraid or embarrassed to ask for help.

Given the fact that depression can increase the risk for other serious diseases in older adults, it is important to make every effort to recognize and help get treatment for a loved one suffering. If you are caring for a depressed elderly person, you can make a difference by supporting them emotionally and making a point to be involved in their lives. Although you might not have the answer to fix their situations, sometimes just listening and giving support, companionship and love is enough to make a difference.

However, if you feel any concern, don't hesitate to contact a medical doctor for help and support. Also, if you are concerned about your loved one feeling isolated or lonely, and you don't have the chance to be around as much as you would like, you could consider a caregiver. Whitsyms refers care providers that can perform many useful duties, and provide companionship and excitement for your loved one, so you don't have to worry. Call toll-free at 1-800-952-3881 to schedule a free consultation to discuss all of your options and find a caregiver that is right for you and your loved one.

 

Do I Need Respite Care?

As we age, most people wish to remain in their own homes for a number of reasons. Being home is familiar and comfortable, and can decrease the physical, mental, and financial stress of moving into a facility. However, remaining at home can start to cause safety concerns if mental and physical health conditions are not managed or monitored properly.

A common option when you decide that your aging loved one needs assistance to stay at home is to take on the role of caregiver yourself, either by moving in with your parents, or having them move in with you. This can be a situation that takes time to adjust to, and can even cause family tension. This is why it is important to talk openly to your parents or loved one about issues such as needs, expectations, and setting boundaries.

As the sole family caregiver, it is easy to become overburdened by the added stress and responsibilities of caregiving duties, in addition to your own personal and professional duties. It is important to be aware of your limitations, and to take time for yourself to avoid caregiver burnout, and to recognize when it is time to seek professional aid, which can come in the form of Respite Care.

What is Respite Care?

Respite Care is all about taking care of the caregiver, since providing care for an elderly or ill loved one can start to take a mental and physical toll on your well-being. Respite Care offers family caregivers temporary relief from the physical and emotional burdens of caregiving, reducing stress and preserving family stability. Respite Care is an important part of an overall home care strategy, and can offer services in the home, or a variety of other settings.

  • In-Home Respite
    • A referred care provider can be brought into the home for a specified period of time to provide oversight and care for your loved one, allowing you to leave the home and/or have personal time to take care of your own needs.
  • Alzheimer’s Respite
    • Respite is especially important when caring for a loved one with Alzheimer’s disease, as it can be a physically and mentally draining task. By having a Respite care provider who specializes in Alzheimer's Care, you can take a break to give you time for your own duties, so you can return refreshed and healthy.
  • Hospital Support
    • Qualified care providers can perform additional support during a stay at the hospital, giving your loved one constant care and attention during some, or all, of their stay, and keeping family members up-to-date.
  • Overnight
    • Sometimes you need a temporary care provider to stay with your loved one overnight if you’re in need of a good night’s sleep, or need to travel. With overnight Respite Care, your loved one will be safely looked after, ensuring safety and companionship while you’re away.
  • Travel Care
    • If you are planning a trip with your loved one and need extra assistance during your travels, a travel care provider can travel with you and perform care. They will be discreet and compassionate, allowing your family to enjoy the trip and each other’s company, while keeping your loved one safe and properly looked after.

When Should You Consider Respite Care?

There are certain times that having the assistance of a certified and professional care provider can be invaluable. There are certain situations where you should always seek professional assistance for the safety of both you and your loved one, but there will also be less specific times when you feel like you need help or need a break, and it is important to listen to that, and not be afraid or hesitant to seek out help. You should consider Respite Care when:

  • You need to travel overnight for business or pleasure (it is important to take personal vacations!)
  • Your elderly parent or loved one needs to transfer from one location to another, or is staying somewhere for an extended period of time (like a surgery center, rehab facility, hospital, etc).
  • Help is needed with daily activities of living, or skilled care following a hospitalization, surgery, injury, or illness.
  • Your parent or loved one wants to be at home while undergoing intense medical treatment, such as chemotherapy.
  • You feel mentally or physically exhausted, and need time for yourself to rest or perform personal duties.

At American In-Home Care, we always refer qualified, screened, care providers that can assist you with your Respite Care needs. Contact a Client Care Liaison at any time to set up a free assessment of your in-home care needs; they can provide you with additional information about which care options are right for you and your family. We are available to take calls 24/7 at 1-844-505-0004.

Gifts For Alzheimer's Patients

Alzheimers CareWith over 5 million Americans living with Alzheimer's disease, and more than 10 million people providing care for them, it is highly likely that you will be buying gifts for a loved one with Alzheimer's, or someone that has been touched by the disease, this holiday season or at some other time. As such, it is important to know what gifts are appropriate - gifts that can help ease stress, confusion, and depression, and actually aid the memories of those suffering.

The key is to look for gifts that your loved one is interested in, and that will keep them actively engaged and at ease. Gifts for Alzheimer's patients should be fun, yet stimulating in some way - be it cognitive stimulation, sensory stimulation, or physical stimulation. Special DVDs can be a good alternative to television, and games and puzzles can not only be fun and interactive, but can help you keep tabs on how your loved one's disease is progressing.

Keep in mind that certain gifts, like new electronics, might seem like a fun or helpful gift, but could actually cause added stress or embarrassment for an Alzheimer's patient because it creates another thing to be remembered. If you decide you want to give a tech gift or electronic, be sure to go over the instructions with your loved one slowly and more than once, so that they have a good understanding,  and keep a copy of the instructions for yourself.

Gifts for Alzheimer's Patients

1. Early Stage: When in the Early Stage of Alzheimer's, people can still live healthy, active lives for the most part, and might only notice subtle changes in their memory and body. For these individuals, gifts that aid cognitive stimulation are beneficial, and can include some of the following:

  • Magnetic reminder pads for the refrigerator
  • Labeled baskets or file folders to keep documents and other misc. items
  • Designated hanger or jar for keys
  • Family calendar with important dates written in - birthdays, anniversaries, holidays, etc.
  • Dial-by-picture telephone system
  • Automated pill dispenser
  • Night light for bedroom or bathroom
  • Crossword puzzles related to 20th Century events or history
  • "Spot the difference" photo games
  • Large playing cards or index cards
  • Puzzles with places they have gone, or art they enjoy
  • Stimulating DVDs, such as nature or history documentaries
  • "Classics" CD from their favorite musician
  • A collection of their favorite movies
  • Plan a special outing - go to a play, a movie, a museum, shopping with family and friends
  • Do fun hands-on activities together such as painting or scrapbooking

2. Middle/Late Stage: People in the later stages of Alzheimer's generally need assistance with most of their daily activities as their state continues to deteriorate. Gifts that provide sensory stimulation, and that bring back pleasant memories are beneficial for individuals suffering from moderate or late stage Alzheimer's, such as:

  • Scented lotions in their favorite scent
  • A bathrobe or slippers in their favorite color
  • A warm throw blanket
  • Comfortable clothes that are easy to put on and take off, and easy to wash - such as sweats, knits, and wrinkle-free sleeping garments
  • A CD or compilation of their favorite songs or musicians
  • Family photo album with pictures of every family member, and their name
  • An illustrated family tree
  • Puzzles of favorite places or art works
  • Games - color stimulation, size and shape games, brain-game books
  • Color-by-number activities
  • Nature or animal DVDs or documentaries
  • Stress ball, or sensory hand-held toys
  • Do fun hands-on activities together such as painting or scrapbooking

Gifts for Family Caregivers 

Caring for an Alzheimer's patient, especially if it is a loved one, can be extremely taxing on a person, both physically and mentally, and can often lead to caregiver depression. To avoid this, truly the best gift you can give an Alzheimer's or dementia caregiver is the gift of respite care. By having someone else relieve caregiving duties temporarily, you will help the family caregiver reduce stress and have a necessary and deserved break over the holiday season.

  • Gift certificates - to salons or spas, favorite restaurants or hotels, favorite clothing stores, maid or lawn services, personal wellbeing such as yoga or gym membership, or technology support
  • Books - informational about caregiving and Alzheimer's disease, and also purely fun, entertaining books from a genre that you know the caregiver enjoys
  • TIVO or DVR subscription - allows the caregiver to record their favorite shows and movies on television that they might miss due to caregiving duties
  • Respite Care - finding a company that can refer a professional, qualified, and compassionate respite care provider to temporarily relieve the family caregiver of their duties is probably the most valued gift you can give. It gives your caregiver the gift of personal time and rest.

American In-Home Care always refers qualified, credentialed, screened, care providers that can assist with a wide variety of services in-home or in facilities. The care providers we refer to perform Respite Care can assist with overnight respite, in-home respite, Alzheimer's respite, travel care, and a number of other services to assist with daily activities. Contact us at 1-844-505-0004 to schedule your free consultation to assess your care needs.

Recognizing Caregiver Depression

Does your mother have enough food? Does she have clean laundry? Is she eating nutritious meals? Has she been wandering? Is she safe? Does she have her medications? Are her finances in order? Who will set up her doctors appointments? Who will drive her?

Up to 50 percent of caregivers providing Alzheimer's and dementia care suffer from caregiver depression in some way - developing major depressive illnesses and stress related to added duties and worry, according to a doctor with the Memory and Aging Center at the University of California, San Francisco. The caregiver becomes so overburdened with responsibilities, duties and worries that they aren't sure what to do next. This feeling of being overwhelmed and not knowing what to do, especially when it concerns a loved one, can lead to anxiety and eventually clinical depression.

With 80 million baby boomers getting older and needing more medical care, and estimates stating that there will be 7 million Americans with Alzheimer's disease by 2025, the concern becomes about the costs of care - financial costs as well as the mental and emotional costs on the caregiver.

Signs of Caregiver Depression

Providing dementia care and Alzheimer's care for a loved one can lead to feelings of stress, guilt, anger, sadness and isolation. Depression can affect caregivers in different ways and at different times, so it is important to recognize the signs and symptoms. It is common for depression to set in immediately after the loved one has been diagnosed with the disease, and also as the disease progresses and diminished mental capabilities start to become apparent. Signs of depression include:

  • Difficulty concentrating, remembering details, and making decisions
  • Fatigue and decreased energy
  • Feelings of guilt, worthlessness, and/or helplessness
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Irritability, restlessness
  • Loss of interest in activities or hobbies once pleasurable
  • Overeating or appetite loss
  • Persistent aches, headaches, cramps, or digestive problems that do not cease with treatment
  • Thoughts of suicide, or suicide attempts

If you are concerned that you might be depressed, see your doctor as soon as possible. If depression is left untreated, not only can it lead to emotional and physical problems, it can also affect the quality of care you're able to provide the person with Alzheimer's or dementia.

What is the solution?

Even though providing Alzheimer's and dementia care can be difficult, caring for loved ones can truly be very rewarding if managed correctly. It is important while providing care that the caregiver takes time to his or herself  to participate in enjoyable activities  and hobbies. Another way to help cope with the added responsibilities and stress is to try keeping a journal to express both positive and negative emotions. It is also important to talk to your friends and family and let them know when you might need some assistance.

There is also major research being conducted that aims to reduce both the tangible and intangible costs of dementia care. The University of California, San Francisco, along with the University of Nebraska Medical Center, is beginning a $10 million study funded by the federal Centers for Medicare & Medicaid Innovation. Researchers plan to develop a dementia "ecosystem," which aims to reduce the cost of caring for the growing number of dementia patients and to ease the strain on caregivers.

A handful of tech start-ups have also been working to create technological solutions to ease the burden on caregivers. In San Francisco, Lively markets a system of networked sensors and a watch that can pick up on activity around the house and let family members or caregivers know if there is a worrisome change.

With increasing technology targeted to help ease the burden of Alzheimer's and dementia care, caregiver responsibilities and worries will be lessened, and depression will likely decrease as a result. However, in the meantime it is important to find outlets for emotions realted to providing care, and to seek professional help when necessary. Respite care is an affordable, reliable option that can provide the additional support to keep you from feeling isolated and overwhelmed. American In-Home Care offers respite care along with other live-in elderly care solutions. Contact us today to set up a free consultation and discuss what care options are right for you.

Long Term Retirement Planning

The number of Americans needing long term care is expected to double in the next 30 years, putting a increased financial and emotional burden on many families. This burden will be felt the most by Baby Boomers who are facing retirement themselves, while also caring for elderly parents and maintaining relationships with grown children of their own.

As it is becoming less common for children to assume the sole caregiving responsibility for their parents, it is even more crucial to be proactive and focus on long term retirement planning at an earlier age.

So what are the steps to successfully plan for long term retirement?

1. Location Matters

As a healthy, recent retiree, or an adult planning for retirement, it is important to think about where you are living. If you have a large, expensive house in a largely car-dependent city or neighborhood, you might want to consider downsizing into an apartment, condo, or small home that is in a pedestrian friendly location near your family and friends. Making the change now will allow you to limit unnecessary expenses, and ensure that you will be able to age at home as long as possible.

According to a UBS survey, 89 percent of participants said that while they would prefer to stay in their current home, they still find moving to a smaller home vastly more preferable than moving into a Nursing Home or Assisted Living Facility.

2. Get Long Term Care Insurance

If aging in your home is what you want, an important step in your retirement planning should be finding an insurance policy that covers that kind of care. It is never too early to be searching for a Long Term Care Insurance policy that suits your needs, as the younger and healthier you are, the cheaper the policies are.

3. Consider The Tradeoffs

It is natural for a parent or grandparent to want to help their children and grandchildren with money - mortgages, college tuition, etc. However, most of us are not wealthy enough to not have to make tough financial decisions sometimes. That same money could be put away in preparation for your long term care needs, which would prevent financial hardships and relationship strains on your children later on.

If you do end up needing to rely on your children for care later in life, it could be a source of conflict between siblings on how to split care responsibilities and payments.

4. Talk To An Expert

Talking to a professional with your entire family present is an important step for long term retirement planning. It allows you to determine what is important to you, and how to manage your retirement and care needs so that the whole family is on the same page, preventing strife later on.

Find a financial advisor or lawyer who specializes in wealth transfer and estate planning, and who is willing to build  relationship with you so they can adapt as your needs change over time.

Once you have determined that either you or your parents need assistance to continue to age at home, one of our Client Care Liaisons can set up a free consultation to determine your in-home care needs, and refer a care provider that is right for your family. Contact us Toll Free at 1-844-505-0004.

 

 

Travel Care For Alzheimer's Disease

When a loved one is diagnosed with Alzheimer's, it often feels like that is the end of life as you know it. But being a caregiver for someone with this disease doesn't mean that you have to give up traveling, nor does it mean your loved one can no longer enjoy getting out of the house. Traveling is still possible in the early stages of the disease, it just requires advanced planning and understanding travel care for Alzheimer's Disease to ensure everyone involved is safe and happy.

Safety is always the number one consideration when planning a trip with a loved one who has Alzheimer's. Follow the steps below to help plan an Alzheimer's-safe vacation so that you can both relax and enjoy the trip.

1. Have a plan in place for wandering.

A familiar routine and environment are comforting to someone suffering from Alzheimer's, and because traveling disrupts this, it is more likely that anxiety and wandering could happen. That is why it is crucial to never leave your loved one alone, be prepared, and have a plan in place.

Contact your local Alzheimer's Association before your trip and register with their Safe Return Program or  Comfort Zone monitoring system, being sure to complete the process entirely before you leave. If a situation arises while you are there, have a plan in place and don't hesitate to contact the local authorities.

3. Keep comfort in mind when traveling.

Have comfort items such as pillows, snacks and water readily available when you travel. This includes any kind of transportation including bus, train, car or airplane. If you decide to fly, schedule flights early in the day, and choose to fly non-stop if you can. Put medications in your carry-on bag, along with any other necessities you might need in case your flight is delayed. And  consider bringing a puzzle book or something similar for your loved one to hold on to.

3. During your trip, maintain a daily routine as much as possible.

Even in a new environment, having a regular routine will lessen the confusion for your loved one. Plan on waking up at the same time every morning and going to bed at the same time in the evenings. Also eat meals at the same time during the day. Create a plan for your days, organizing the days with structured and pleasant activities that you both can enjoy. Plan to see places and incorporate activities you know they enjoy, and make sure to allow for flexibility within your daily routine for spontaneous activities.

4. Consider respite care while you travel.

If you feel that traveling with your loved one would be too difficult or too disruptive to them, consider hiring a temporary respite caregiver to come to their home. This will allow you the chance to take a break from your caregiving responsibilities, which can be crucial for your own health and happiness, and it will give your loved one a chance to  experience quality care and meaningful activities, making their "staycation" fun and safe as well.

Whitsyms offers Respite Care and special Alzheimer's Care services, ensuring your loved one will be in the best hands, and will always be safe and happy. We offer free, no obligation consultations and assessments. Contact us today at 1-800-952-3881!

 

Maximizing Social Security Benefits Under New Rule

By Laurence J. Kotlikoff, Social Security expert and Boston University economist (This article previously appeared on NextAvenue.org)

Here are 12 tips for maximizing Social Security benefits under the new rule.

The 2015 Budget dramatically changed Social Security claiming options. ​Every day, I get a host of emails from the victims of these changes. Most are like my 64-year-old secretary, who I wrote about last week.

Thanks to Congress and the President, she lost her ability at age 66 to do three things: a) get a child benefit for her severely disabled child, b) a get spousal benefit for her non-working husband who has had to stay home and care for their child for years and c) file for her retirement benefit, immediately suspend it (with the strategy known as “file and suspend“) and wait until 70 to collect her highest possible retirement benefit.

The most important means to maximize your lifetime benefits was, and remains, to try to start benefits only after they have stopped growing.

What’s her new best strategy?

Is it to keep working to forgo getting her son and husband benefits for four years and take her own retirement benefit at 70? This strategy entails her continuing to work 80 hours of week at two jobs to keep the family living at its decidedly lower-income living standard.

Or is it to take her own retirement benefit at 66 and thereby activate benefits for her son and husband? Doing so means her own retirement benefit will be 26 percent smaller for the rest of her life. That option provides the immediate wherewithal (the money) to consider working one rather than two jobs from age 66, but at the price of a permanently lower long-term living standard.

Surprising, Rushed Social Security Changes

This is the kind of outcome that the AARP — the huge nonprofit that is supposed to protect the elderly — was applauding in emailing its tens of millions of members and telling them to actively congratulate their Congressmen and Congresswomen for supporting the change in the law. I wrote about this in a recent Forbes column.

This is the kind of outcome that the small-minded, ill-informed Congressional staffers who changed Social Security rules are now cheering. They made their draconian changes in a back room, with no public hearings, knowing that the changes would be rushed to a vote before Congress. They made these changes knowing that these changes would take benefits away from millions of low- and middle-income people.

But if the new Social Security benefit rules are here for good, and they certainly seem to be, what should people do?

Here are 12 secrets to maximizing your lifetime Social Security benefits under the new rules:

1. The most important means to maximize your lifetime benefits was, and remains, to try to start benefits only after they have stopped growing. For a high earning 60-year-old couple, for example, their inability to utilize the file and suspend strategy costs them about $50,000. But if they wait until 70 to collect their retirement benefits, they will still be up $350,000 compared to taking their retirement benefits at 62. That’s the power of being able to wait to collect a 76 percent greater check every month from age 70 through 100 if you live that long. As a result of this new law, this couple loses roughly $50,000 out of the $400,000 they would have previously received from optimizing. That is, the budget legislation cost them 12.5 percent of their remaining lifetime benefits.

The hit to my secretary if she takes her retirement benefit at 66, which appears likely, is roughly twice as large.

So this supposed “progressive” policy change that “eliminated loopholes” is nothing of the sort. It will force low- and middle-income households to file for their retirement benefits early and leave them with permanently lower old-age living standards.

2. If you are married, you may still qualify to use the file and suspend strategy.Under this strategy, a) one spouse files and suspends their retirement benefit at 66 and waits until 70 to restart that benefit at its highest possible value while b) the other spouse files just for a spousal benefit at Full Retirement Age and waits until 70 to take his or her retirement benefit.

Under the new law, use of the file and suspend strategy is highly restricted. The spouse who is going to file and suspend has to have been born no later than May 1, 1950, and submit their request to file and suspend on or before April 29, 2016, so Social Security has time to process their application. This reflects the six-month grandfathering window including in the 2015 Budget.

The spouse who wants to take their full spousal benefit by itself and let their own retirement benefit grow must be born no later than Jan. 1, 1954. The grandfathering rule here is you need to be 62 by the end of the year, but Social Security treats someone whose birthday is on the first of a month as having changed their age on the last day of the prior month.

So if your spouse does file and suspend before this witching second, you better not turn 62 (the way you record your own birthday) even a nanosecond after midnight, Jan. 1, 2016.

3. If you are divorced (after having been married for 10 or more years) and turn 62 no later than Jan. 1, 2016, you can still file just for your divorce(e) spousal benefit at full retirement age and wait until 70 to collect your own retirement benefit.

4. If you are married and you and your spouse are more than four years apart in age, but the younger of the two of you will reach 62 by the end of this year, that younger spouse is still free to file just for a full spousal benefit when he or she reaches Full Retirement Age and still let his or her retirement benefit grow through age 70. This is possible, because the older spouse will be taking retirement benefits by then.

5. If you are married and reach 62 no later than Jan. 1, 2016 and your older spouse won’t reach 66 by May 1, 2016, your older spouse can file for a retirement benefit before age 70 but after you reach Full Retirement Age, permitting you to take just your spousal benefit at that point and then wait until 70 to collect your own retirement benefit.

Whether this is optimal is something only the most precise commercial software can calculate. Make sure that the software program you use has been fully updated since the legislation has passed.

6. Suppose you are a married younger spouse and that you were born after Jan. 1, 1954 and that your spouse was born after May 1, 1950. Assume you have very low earnings relative to your spouse so that your spousal benefit will exceed your own retirement benefit even if you wait until 70 to collect it. In this case, you and your spouse have a tricky problem.

Your spouse can file for their retirement benefit before reaching 70, say, at 68. But doing so comes at a price of permanently reduced retirement benefits and a permanently lower widow’s benefits for you if your spouse dies before you and after age 68. On the other hand, by taking their retirement benefit earlier than 70, your spouse can permit you to take your spousal benefit sooner than would otherwise be the case. Recall, however, that if you take your spousal benefit before full retirement age, it will be permanently reduced.

One option, which is likely the best in many cases, is for you to take your own retirement benefit when you reach Full Retirement Age and then take your excess spousal benefit when your spouse reaches age 70 and take their retirement benefit.

But if your spouse has a relatively low maximum age of life, it may be better for you to take your retirement benefit as early as age 62 and have your spouse take their retirement benefit somewhat before age 70 at which point you take your excess spousal benefit. Taking the excess spousal benefit (the difference between your full spousal benefit and your own retirement benefit) early (before full retirement age) will permanently reduce it. But if you are going to be flipping onto a widow’s benefit fairly early in life, getting a bird in the hand may be worth it.

If the above sounds even more complex than under the old system, you’re right: it is. The new law has made maximizing your Social Security via the correct collection strategies even more complex for many couples.

7. If you took your retirement benefit before Full Retirement Age, were born after Jan. 1 and were hoping to suspend it at full retirement age, you can still suspend your retirement benefit and restart it at 70 at what is now a 32 percent larger value. But you can’t provide your spouse or your ex-spouse or your young or disabled children any benefits based on your account during the years that you keep your retirement benefit in suspension.

For example, you may have filed for your retirement benefit last year, say, at age 62 to activate a child benefit for your disabled child and a child-in-care spousal benefit for your spouse who is caring for your child. You may have done so knowing that at Full Retirement Age you could suspend your own retirement benefit and restart it at a 32 percent higher at 70 without terminating your child’s disabled child benefit and your spouse’s child in care spousal benefit during the suspension period. But Congress and the President just took that option away. When you reach Full Retirement Age, if you suspend, both the child and child-in-care spousal benefit will stop until you restart your retirement benefit. Consequently, the advantage of this start-stop-start strategy has been greatly reduced.

Still, it may be best to forego those auxiliary benefits for four years in order to have a permanently higher retirement benefit (and when you die, provide a permanently higher widow(er) benefit), starting at 70.

8. If you are single or divorced before 10 years and you aren’t going to get married, the new law doesn’t change any of your options except for one. If you don’t reach 66 until after May 1, 2016, but you still suspend your retirement benefit, you will no longer be able to ask to receive all your suspended benefits in a single lump sum check if, for example, you are diagnosed with a terminal disease. This makes suspending your benefit in order to raise it by restarting it at 70 a riskier option.

9. If you are widowed, nothing has changed with respect to your options to maximize your lifetime Social Security benefits. Your best strategy will be to either take your widows benefit at 60 (or 50 if you are collecting disability) and start your own retirement benefit at 70 (or, if widowed, at Full Retirement Age, but you can then suspend it until 70) or take your retirement benefit at 62 and take your widow(er) benefit at Full Retirement Age or earlier in the case your deceased spouse took their own retirement benefit early.

10. If you are collecting disability benefits, you weren’t hurt as badly by the new law. That’s because thanks to another midnight massacre of Social Security benefits, you weren’t able to collect a full spousal benefit off you spouse’s work record in any case. On the other hand, if your spouse turns 62 by or on Jan. 1, 2016, he or she can collect just a full spousal benefit from Full Retirement Age through 70 while letting the retirement benefit grow. That is, the spouse, too, is grandfathered.

11. If you are disabled and were expecting to collect excess spousal benefits from your spouse during years that their retirement benefit is in suspension,you can kiss those benefits goodbye unless your spouse was born on or before May 1, 1950 and files and suspends. If your spouse is a minute too young to meet that deadline and suspends after reaching Full Retirement Age, he or she won’t be able to give you any benefits off their work records while their retirement benefits are in suspension.

12. If you and your spouse were born before or on Jan. 1, 1954 and have been married for 10 plus years, but neither of you will turn 66 before or on May 1, 2016, you have an option to collect full spousal benefits off of each other’s records starting at Full Retirement Age and then take your own retirement benefits at 70. But, there’s a rather large caveat: The option involves getting divorced two years before you reach Full Retirement Age.

Neither of you will be deemed at Full Retirement Age to be filing for both your divorcee spousal benefit and your own retirement benefit (because you have been grandfathered in), so you’ll have this option that someone who won’t turn 62 by or on Jan. 1, 2016 won’t have. Between the time that you divorce and age 70, you can “live in sin.” Then at 70, you can get remarried. For some high-income households this can mean an extra $120,000.

Source: Kotlikoff, Laurence J. "How to Max Social Security Benefits Under the New Rules." Next Avenue. 18 Nov. 2015. PBS NewsHour. 16 Nov. 2015. 

Paying For Elder Care

With the average lifespan increasing and costs of living rising, more and more aging adults that need care are finding their savings accounts depleted. The cost of care then falls back onto the family, who have financial burdens of their own, and often get overwhelmed by expensive care options. According to the Genworth 2014 Cost of Care Survey, the average annual cost of a one bedroom apartment in an assisted living community is $42,000 per year, and a private room in a nursing home averages more than $87,600 per year.

Independent home care is generally less expensive, so many seniors and their families opt for this option because of the potential for savings. However, quality in-home care providers with screened and trained professionals still cost an average of $4,560 per month, and thus paying for elder care requires understanding options through research and careful planning.

Long-Term Care Insurance

Long-term care insurance (LTCI) helps pay for costs that private medical insurance does not cover, and  minimizes the financial impact of long-term health care needs. In general, long-term care insurance covers the cost of home care, assisted living, adult daycare, respite care, hospice care, nursing home and Alzheimer's care facilities. However, most companies will not insure people with preexisting conditions, so it is best to buy LTCI before health issues arise.

Learn more about long-term care insurance

Life Insurance Policy Conversions: Long Term Care Benefit Plan

Rather than allowing a life insurance policy to lapse, the owner can convert their policy into a Long Term Care Benefit Plan. It is a unique financial option for seniors because it pays for immediate care needs, all health conditions are accepted, and there are no premium payments. There are also no wait periods, care limitations, costs or obligations to apply, and no requirement to be terminally ill. Policy owners have the right to convert an in-force life insurance policy to enroll in this benefit plan, and are able to immediately direct tax-exempt payments to cover specific costs like senior housing and long term care.

Learn more about paying for senior care with life insurance

Government Funded Long Term Care

Contrary to popular belief, Medicare is not universal health care for people over 65, and it does not cover long-term care costs for seniors. However, Medicare, Medicaid and the US Department of Veteran Affairs do offer assistance programs that can help pay for eldercare in certain circumstances.

Learn more about government funded long term care

Reverse Mortgages

A reverse mortgage - also known as a Home Equity Conversion Mortgage (HECM) - is a kind of loan for homeowners over the age of 62 that turns home equity into cash. When a reverse mortgage is secured, the money from the home equity can be used while still living in and retaining ownership of their home. There are no restrictions on how the money from a reverse mortgage can be used. The relatively high closing costs can be a disadvantage, but it could be useful if there is concern about not being able to make the payments on a normal loan, or the money is needed for any purpose.

Learn more about reverse mortgages

Elderly Depression: What You Need To Know

One in five Americans aged 65 and older are affected by depression. That means over 20 percent of the aging population is affected, making recognizing signs of elderly depression increasingly important.

Although the rate of depression in the elderly population is relatively high, that does not mean that it is a normal part of aging. Depression can affect anyone, at any age, but there are several risk factors that put older adults at higher risk.

Risk Factors For Depression In Older Adults

  1. Difficult life events and changes in personal circumstances
  2. Losing loved ones and friends
  3. Loneliness and isolation
  4. Lack of social support
  5. Pain and physical illness
  6. Being a victim of crime or abuse
  7. Financial crisis
  8. Family history or past episodes of depression
  9. Moving accommodations
  10. Alcohol abuse
  11. Over medicating

Recognizing the risk factors for older adults allows you to realize when a loved one might be at risk for depression, and to be able to prevent possible negative repercussions. As the risk factors vary with different age groups, it is important to be familiar with the factors for older adults specifically. Elderly people also display symptoms of depression differently than younger adults, so it is important to recognize age-specific symptoms of depression as well.

Symptoms Of Depression In Older Adults

  1. Psychotic Symptoms
    1. Delusions
    2. Auditory hallucinations
    3. Catatonic features
  2. Cognitive Symptoms
    1. Disorientation
    2. Memory loss
    3. Poor concentration
    4. Easily distracted
    5. Apathy
  3. Behavioral Symptoms
    1. Feeling melancholy
    2. Anorexia or excessive eating
    3. Insomnia or disrupted sleep patterns
    4. Loss of interest in hobbies and activities
    5. Thoughts of suicide
    6. Anergia
    7. Inappropriate feelings of guilt
    8. Pyschomotor retardation
    9. Note: sometimes medications can cause some of these same symptoms

Depression is a serious illness, and whether it affects people young or old, the condition's many symptoms make it very difficult for the individual to overcome it, or find a way out on their own. While depression affects around 6 million Americans aged 65 and over, only about 10 percent actually receive treatment. Perhaps this is because risk factors and symptoms are different in older adults and make recognizing the disease more difficult. Another factor could be the fact that seniors were raised in a generation when the disease was a stigma, and are afraid or embarrassed to ask for help.

Given the fact that depression can increase the risk for other serious diseases in older adults, it is important to make every effort to recognize and help get treatment for a loved one suffering. If you are caring for a depressed elderly person, you can make a difference by supporting them emotionally and making a point to be involved in their lives. Although you might not have the answer to fix their situations, sometimes just listening and giving support, companionship and love is enough to make a difference.

However, if you feel any concern, don't hesitate to contact a medical doctor for help and support. Also, if you are concerned about your loved one feeling isolated or lonely, and you don't have the chance to be around as much as you would like, you could consider a caregiver. Whitsyms refers care providers that can perform many useful duties, and provide companionship and excitement for your loved one, so you don't have to worry. Call toll-free at 1-800-952-3881 to schedule a free consultation to discuss all of your options and find a caregiver that is right for you and your loved one.

 

Signs of Early-Onset Alzheimer's Disease

A person suffering from early-onset Alzheimer's disease likely does not look like the average Alzheimer's patient. The average Alzheimer's sufferer in America is a woman in her 70s, whose disease has a relatively slow onset and symptoms that reflect memory loss.

However, early-onset Alzheimer's is different, affecting the middle-aged populace with symptoms that don't necessarily have anything to do with memory loss. According to the Mayo Clinic, 200,000 Americans suffer from it, so how can you tell if you are among them?

Stealing or Breaking the Law

Behavioral changes in older adults should always be cause for concern. If behavioral patterns have changed drastically, and a previously well-behaved adult starts behaving dangerously or erratically, it could be a sign of  Frontotemporal Dementia, the most common brain-damaging disease that strikes people under age 60, affecting their ability to make decisions and determine right from wrong.

Falling Often

If you or a loved one are falling frequently, tell your doctor as it could be a sign of a cognitive problem. In a recent study of 125 people sampled, those that fell often had correlating brain scans for early-onset Alzheimer's disease.

Forgetting What Objects Are For

There's a difference between not remembering where you put your keys and not remembering what a key is used for. If you're having problems remembering the function of objects or where things go, it is time to talk to a doctor.

Eating Inappropriate Things

Some patients of early-onset Alzheimer's have been reported to eat inanimate objects, such as paper or other inedible things, prior to their diagnosis. Also, people diagnosed with Alzheimer's generally consume more calories and are hungrier than non-sufferers, and still they tend to lose weight. Both of these could be related to decreased brain function; the brain receives hunger signals and isn't sure how to process them.

Not Able to Recognize Sarcasm

Sarcasm can sometimes be hard to pick up on, but if you find yourself constantly missing out on humor and sarcasm that others are picking up on, this could be a warning sign of brain atrophy. In diseases such as early-onset Alzheimer's and Frontotemporal Dementia, the brain’s posterior hippocampus is affected, which is where short-term memory is stored, and where one would sort out such things as sarcasm.

Being Depressed

A change in mental health later in life is another symptom of early-onset Alzheimer's disease. If you have never suffered from clinical depression in your young adult life, but develop depression later in life, this could be an alerting factor. This doesn't mean that every person diagnosed with depression later in life will suffer from Alzheimer's, but it does make someone three times more likely to have an Alzheimer's-related disease. Get treatment for depression as soon as possible because it is speculated that the hormones released during depression can actually damage parts of the brain.

Blankly Staring

With early-onset Alzheimer's, the function of the brain is compromised, meaning your ability to recall facts, memories and information is compromised, the brain becoming all around unfocused. So staring in a detached way might be an early sign of a compromised brain.

These symptoms could signal early-onset Alzheimer’s Disease, but they might also be the signs of other underlying conditions. A trained neurologist can easily diagnose Alzheimer’s or other dementias, so talk to your doctor if you have worrying signs so that you can begin treatment. If diagnosed with early-onset Alzheimer's, having a care provider in your home could help you feel safe and comfortable. American In-Home Care always refers qualified, credentialed, insured and screened care providers that can help with a variety of services including Alzheimer's and Dementia Care. Contact us today at 1-844-505-0004 to schedule your free in-home assessment.

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Adapted From: Andrea Atkins, "7 Surprising Early Signs of Alzheimer's Disease." Next Avenue. Oct. 2015.