JEFF GOLL, SENIOR ADVISOR

Support Services for Seniors and Their Families


 

   Aging Well Digest

  
 Useful, interesting, and informative news for seniors and their families

   WWW.JEFFGOLLSENIORADVISOR.COM

   

jwgoll@mindspring.com
             April 2011                                      Issue 8

 Dear Friends:

This is the April 2011 edition of the Aging Well Digest and, as always, I hope you will be able to find something useful, informative, or interesting in this issue. I will continue to be on the lookout for the best and most helpful information on issues related to aging that I find each month and I encourage you to contact me if there are topics you would especially like me to investigate.


In this issue there are links to articles on; 1) hospital re-admissions and how to prevent them, 2) for-profit nursing care homes and their quality of care, 3) unbiased reverse mortgage counselors, and  4) home safety checklists for seniors. 

Of course I am here to work with you if you need more personalized help with any of these issues or other aging related concerns. Your first consultation is free in order for us to determine if and how I can help you.


Thanks,  Jeff                                  

Aging Well Digest Archives
                     Click these links to view earlier issues 
               
                                       ISSUE #1                                                                                      ISSUE #2                                        
 

                                       ISSUE #3

                                       ISSUE #4

                                       ISSUE #5

                                       ISSUE #6

                                       ISSUE #7

 

 

       taos wildflowers 

 

 

                                                   

 

 

In This Issue
1) HOSPITAL RE-ADMISSIONS
2) FOR-PROFIT NURSING CARE HOMES
3) REVERSE MORTGAGE COUNSELORS
4) HOME SAFETY CHECKLIST


Jeff Goll: Senior Advisor
  jeffgollsenioradvisor.com

919-602-8483

jwgoll@mindspring.com

  
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Hospital Re-admissions 

 

 

roses

According to the New England Journal of Medicine, 20% of discharged patients are re-admitted to hospitals within thirty days. Moreover, half of those re-admits had not seen a doctor since their original discharge. Even more striking, 51% of patients discharged after surgery either died or were readmitted within a year of discharge. Clearly, post-hospital care is critical for positive patient outcomes. 

 

The good news is that three quarters of these re-admissions are preventable.

The main thing a healthcare consumer can do is to be proactive and not leave your recovery in the hands of others. The link below is to an article that describes the problem and offers tips on how to prevent a hospital return. 

 

The full story: 

 


Nursing Home Profits and Quality of Care

 black eyed susansIn recent years Wall Street investment firms have purchased thousands of nursing homes for themselves or their private equity partners. After acquiring these homes they often reduce costs, increase profits, and sell them again for significant gain, a practice not unfamiliar to anyone acquainted with corporate capitalism. 

 

    In case you or a loved one ever need a nursing facility however, you will want to be aware of these statistics. For-profit nursing homes score worse on most of the indicators that regulators use to judge care, including bedsores, infections, and depression. This New York Times article employs data from the Center for Medicare and Medicaid Services to describe what often happens when a nursing home is owned by a large for-profit entity.  

 

Read the complete story: 


 Reverse Mortgage Counseling

zinnias

 When the term "reverse mortgage" is used in conversation with most Americans the reaction is either that of puzzlement or skepticism. Both are understandable. Reverse mortgages are a relatively new way to unlock the value of ones home. They are also moderately complicated and have been pushed on vulnerable seniors for whom this type of transaction is not appropriate. 


     There is good news however. In the last couple of years the costs of these transactions have come down significantly allowing homeowners access to more of their house's value. More importantly in my opinion, HUD, which oversees these transactions, requires every homeowner to undergo counseling to insure that they have objective information with which to base a decision. These counselors are well trained and independent from any banking or loan agency. They often work through local not-for-profits. If you think a reverse mortgage may help your situation, by all means explore the possibility, but take full advantage of the HECM (Home Equity Conversion Mortgage) counselor's insight. 


Here's more information:


 

 

Home Safety Checklist

 yellow flowers

Remaining in ones own home is the preferred choice of many older adults. In some cases many support systems need to be in place for this option to be practical but there is one thing we can all do to help make this a viable choice and that is simple home safety. Many of the items in the following list are of particular importance to seniors whose safety and ability to negotiate their environment will determine if they can remain where they choose. 

 

 

 

To the checklist: 

 

 

Archived articles by issue and topic

 

Issue 1                                                                            
    - Health insurance claim denial                   
    - Hospital shift change
    - The most frequent medical error
    - Senior fraud schemes

Issue 2
    - "Observation only" hospital stays
    -  Sleep issues in assisted living facilities
    -  Family mediation and senior issues
    -  Creativity and aging

Issue 3                                  
    - Sex, condoms, seniors
    - Senior friendly products
    - Common diagnostic tests
    - Global dementia projections

Issue 4
    - Beers list criteria
    - Pre-authorization delays
    - NC SHIIP
    - Senior Pharmassist

Issue 5
    - Poor nursing home pay
    - The CLASS act
    - Falls and Fractures
    - Creative advantages

Issue 6
    - Are we safer now? (hospital safety)
    - Trauma center bias
    - Nursing home practices
    - Revocable Trust review

Issue 7
    - Hospital discharge
    - Home health agencies
    - Geriatric MD shortage
    - Bereavement counseling



     While I hope that this digest will contain something useful, interesting, or informative for you in every monthly edition, I don't want to burden the inbox of anyone who would prefer not to receive it.  If you would rather not get this email digest again, please just click on unsubscribe at the bottom of this page.

Alternatively, if you would like to send this digest to someone, just click on Forward email at the bottom of the page. Also, let me know if there are any topics you would like to have me include in the Aging Well Digest.

      I intend to provide coverage on a wide range of senior issues so that even if you are a professional in the field of aging, I hope you can learn something in every issue.

            "It takes a long time to become young."
                                               Pablo Picasso

         "With mirth and laughter let old wrinkles come."
                                  Merchant of Venice   1.1.80

artwork by I. Wellman and N. Danson