Freedom Eldercare
  May 2009
Freedom Eldercare Newsletter
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In This Issue
The Aging Brain: Use It and Improve It



Searching for solutions, the Linden Center at Ithaca College in New York is exploring and trying to understand how older people can continue to flourish creatively and remain engaged in life and society.

The findings are that "It's not 'use it or lose it' - it's use it and improve it."

Research shows, among other things, that staying engaged in creative activities gives people a sense of mastery, significantly improves overall health, and improves scores on the Geriatric Depression Scale and the Loneliness Scale.

Read more about their creative approaches here.

Take the Geriatric Depression Scale test here.

Pick a Sandwich, Any Sandwich!



It's estimated that over one-third of the population is in a caregiver role for the elderly. Many of these caregivers also provide care for children as well. In light of the ever growing population of "sandwich" generation folks (those who are sandwiched between caring for adults and children) a new group of defining terms has been cooked up to describe the group's demographics:
  • Traditional Sandwich: Those sandwiched between aging parents, who need care and/or help, and their own children who still need them. This sometimes includes elderly aunts, uncles and in-laws with no other resources.
  • Club Sandwich: Those in their 50s and 60s sandwiched between aging parents, adult children and grandchildren; or, those in their 30s and 40s, with young children, aging parents and grandparents.
  • Open-Faced Sandwich: Anyone else involved with elder care.
What kind of sandwich are you? What about your friends, co-workers and colleagues? Find more information here.
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Greetings!

Are you "age aware?" With an aging society come many changes that will affect all. By 2050, for the first time in history, seniors will outnumber children and youth with 40 percent of the U.S. population over the age of 50. By 2030, those people aged 65 years of age and older are expected to hit 20 percent, whereas in 1900 it was a mere 4%. At the same time, birth rates have declined. While  the population of individuals over the age of 50 will grow by nearly three-quarters over the next 15 years or so, the population of those under 50 is expected to increase by a mere 1 percent during the same period.
 
What does this mean for you? An increased need in services pertaining to the aging. At the far end of the aging spectrum, America's eldest population group grows the fastest. Americans age 85 and up numbered some 4 million in 2000. That number is expected to pass 19 million by 2050. No one knows what changes these demographic shifts will create, but you can rest assured that life as we know it will change. Let's make it for the better!

As always, we send this newsletter in a spirit of sharing and community. We hope you will find the included news informative and beneficial.

Thank you,
The Team at Freedom Eldercare
Growth Spurts in Need for Long-Term Care

A new analysis found that nearly 30% of long-term care costs are paid out-of-pocket--a full 10% higher than amounts reported in widely used previous estimates. The previous analyses did not include spending on assisted living, which is a key component of long-term care. The findings revealed that individuals and their families contributed an estimated $64 billion of their own funds out-of-pocket towards long-term care services in 2006. In addition, families and communities played a central role in the nation's long-term care system by providing unpaid care valued at $350 billion. Private health and long-term care insurance played a much smaller role, contributing a little over $16 billion.

The long-term care need among individuals 85 and older is nearly four times as high (36 percent) as the need in the age 65 to 84 population (10 percent).

To access the full report, click here.
Finally, Increased Aid To Those Who Served

There are 23.5 million veterans of all ages across the nation. Many elderly veterans and surviving spouses whose incomes are above the congressionally mandated legal limit for a VA pension may still be eligible for the special monthly Aid and Attendance benefit if they have large medical expenses, including nursing home expenses, for which they do not receive reimbursement.

In 2009, the Veterans Administration increased its payment in the Veterans Aid and Attendance Pension Benefit. A veteran is eligible for up to $1,644 per month from the VA; a couple can qualify for up to $1,949 per month. A surviving spouse is eligible for up to $1,056 per month. To qualify, claimants must be incapable of self support and in need of regular personal assistance.  

The basic criteria for the Aid and Attendance benefit include the inability to feed oneself, to dress and undress without assistance, or to take care of one's own bodily needs. People who are bedridden or need help to adjust special prosthetic or orthopedic devices may also be eligible, as well as those who have a physical or mental injury or illness that requires regular assistance to protect them from hazards or dangers in their daily environment.
 
The best way to find about the Aid and Attendance Program at the VA is to call your local office. You can also go here for the Aid and Attendance or Housebound Examination.

Visit the VA website here.
Home Care: An Untapped Tax Break?

In-home services required to assist with the activities of daily living such as bathing, dressing, feeding, medication and ambulating may be deductible as medical expenses if they are of the nature of the services which a nurse would perform. The services do not have to be performed by a nurse as long as the services are of a kind generally performed by a nurse.This includes services connected with caring for the patient's condition, such as giving medication or changing dressings, as well as bathing and grooming the patient. These services can be provided in the patient's home or another care facility. If the caregiver also performs personal or household services, unrelated to the medical care of the client, these may have to be apportioned since they are not deductible.

For details, see Maintenance and Personal Care Services here and Home Care here.
About Freedom Eldercare
Freedom Eldercare is New Jersey's leader in comprehensive eldercare service delivery, providing geriatric care management, home care and home health services plus professional education and training. Home care and geriatric care management services are provided based on individually designed recommendations for care.  For more information, visit us on the Web at FreedomEldercare.com or call 1.866.7.FREEDOM.