Senior Life Since 2005
No-regret decisions at home, assisted living, hospitals and nursing homes
2425 Clover Street, Rochester, NY 14618
585-424-2424


ARTICLES & ANSWERS

Senior Life and Jennifer Meagher RN are featured on the WHEC News 10 website: www.WHEC.com. Jennifer answers questions from people like you and writes an article as well. She’s been writing for News 10 since 2007.

The most common questions asked of Senior Life are about life planning; options, costs and decisions. These letters and articles outline some of the considerations. Need more information? Book a consultation for complete information for your situation.

DEMENTIA

  DEMENTIA: DIGNITY and SECONDARY CONCERNS
  DEMENTIA: A FRIEND’S DENIAL and WHY DIAGNOSIS IS IMPORTANT
  WHEN DAYS AND NIGHTS ARE CONFUSED
  DRIVING WITH DEMENTIA
 

LIFE PLANNNING

  DECISIONS and FINANCES
  STAYING HOME
  MOVING
  MEDICAID
     

FAMILY RELATIONSHIPS

  PASSIVE-AGGRESSIVE MOM AND GUILT ARTICLE
  CRITICAL MOTHERS AND LAZY SIBLINGS
  PERSONALITY DISORDER AND BAD PARENT VENGEANCE
  CRITICAL BROTHERS AND LONG DISTANCE FAMILIES
  SPLITTING UP PARENT’S VALUABLES
   

MEDICAID

Dear Jennifer,
My letter is not about your series, although I am learning a lot and grateful for the information. I am writing about my father’s depression. He isn’t eating well, he wakes up in the middle of the night and can’t go back to sleep. He’s lost some weight and overall he just seems sad to me. He just doesn’t feel like doing things he used to enjoy. My problem is that when I talk to his doctor about this, he doesn’t want to medicate him. The doctor said that so many medications have terrible side effects that he’d rather wait and see how he does. He’s been saying we’ll wait for some time now. I talked to my father about it, but he’s been with his doctor for about 25 years. He does whatever he says. My father won’t let me come to a doctor’s appointment with him. I don’t know which way to turn with this. I hope you’ve got an idea for me.

Best Wishes,
George Anne





Dear George Anne,
Your father is exhibiting symptoms associated with depression, but I don’t know enough about his overall health picture. Is there a reason your dad would be depressed? Has he suffered a loss? Is his health failing? Is he in pain? My idea is to insist that your father let you come to an appointment. Tell your father that you are worried about his health in general, don’t focus on depression, and let that come out naturally over the course of the appointment. Tell your dad that something is causing him to lose weight etc. and you want to talk with the doctor. If he digs in his heels, try to get his permission to speak to the doctor by phone or through his patient portal online if there is one.
Also, you might try increasing your visits to include being there at meal time (always have enough for left overs for him) and getting him out of the house now that the weather is getting nicer.
Good luck.

Warmly,
Jennifer




FIVE COMMON QUESTIONS ABOUT MEDICAID

Here’s a laundry list of considerations when faced with this decision:

1. Home modifications - possibilities include:
  1. Stay home with help. The help could be family or hired help. The hired help could be private hires or through an agency. The agency help could be “companions” or aides and nurses. I know. It’s a lot, right? -- I help my families understand the complexities of all this – there is too much information to share here.1. Is there more than one kind of Medicaid for the elderly? Yes.
COMMUNITY. This Medicaid is for elders who are not yet in a nursing home – they live elsewhere in the community.
CHRONIC. This Medicaid is what I call NURSING HOME MEDICAID. The elder cannot apply for this Medicaid until s/he is in the nursing home.
  2. What is the look back period? Medicaid is a federal benefit. It is for individuals who have spent down their money honestly. The look back ensures that the individual is not trying to defraud Medicaid by hiding or shifting funds.
COMMUNITY MEDICAID has a 4 month look back period.
CHRONIC MEDICAID has a 5 year look back period.
  3. Do I need a lawyer to apply for Medicaid? This seems to be a matter of opinion. There are services that provide Medicaid application assistance – buyer beware. Some services are top drawer. Others, not so much. Attorneys are helpful for what’s called “Medicaid Planning.” This means attention is paid to financial considerations for aging couples and for trusts. Medicaid applications that are done wrong are a huge headache.
  4. When should I start preparing for Medicaid? Now. You should have your documents organized so they are ready whenever you need to apply. Keep all your receipts and bank statements.
  5. Do private pay citizens and Medicaid citizens receive the same nursing home services? Yes and No. Someone who is ready to apply for Medicaid at the same time s/he is applying to a nursing home will be very restricted on which homes will agree to consider the application. Those on Medicaid will have a semi-private room. Otherwise, services are identical.



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info@seniorlifegcm.com
585.424.2424