Come read Raya’s Paradise blog about assisted living Los Angeles.

A study in ‘The Gerontologist’ states that, “approximately one-third of 65-year-olds are single.” That’s a 50% increase since 1980 according to the U.S. Census. Aging with family and friends has been shown to result in improved health of seniors, including lower chances of cognitive impairment, and hospitalization. Research shows that socialization, companionship and hobby-building has great benefits for seniors: older adults who are surrounded by others are at a decreased risk of both cardiovascular and cognitive decline. For some seniors, moving into an Assisted Living Community is the first step they can take to help maintain or increase the quality of life as they grow older. In reputable communities, experts in the field of long-term care help coordinate between activities to create communities where older adults are able to create new memories with one another. Residents take on scheduled group hobbies such as yoga, cooking, and artistry while pursing passions both new and old. Assisted Living Communities can act as a hub for seniors to connect and make new friends. Our advice for making friends in a community? Participate and try out all the opportunities that are available. The goal is to foster an natural feeling of community with residents similar in age and circumstances.
Can the right foods reduce or even reverse Alzheimer’s symptoms? Certified Nutrition Specialist, Amy Berger thinks so. Berger believes that Alzheimer’s is caused by a glucose shortage in the brain, causing brain neurons to degenerate, and leading to the all-too-familiar Alzheimer’s symptoms like memory loss and behavioral changes. In her book, “The Alzheimer’s Antidote: Using a Low-Carb, High-Fat Diet to Fight Alzheimer’s Disease, Memory Loss, and Cognitive Decline”, Berger presents a nutritional and lifestyle intervention approach she claims is designed to combat Alzheimer’s disease. Berger’s research suggests that an effective way to treat Alzheimer’s is through diet and lifestyle changes that improve energy generation in the brain and that a food-based solution to achieve measurable improvements is as simple as a low-carb, high-fat diet. At Raya’s Paradise, we are always looking to improve and enhance our residents’ lives. Our certified nutritionists design our healthy living menus so as to help minimize the “metabolic dysregulations” that contribute to Alzheimer’s symptoms. We serve three daily meals that are rich in healthy, unprocessed fats and include micronutrient packed vegetables – beneficial for a healthy life and proven through research to help reduce, and even prevent Alzheimer’s and dementia symptoms.
Dementias are degenerative disorders that develop primarily in the nervous system and selectively damage particular areas of the brain. Some dementias, like Alzheimer’s disease affect all areas of the brain simultaneously, while others, such as frontotemporal dementia, affect the parts of the brain involved in controlling one’s communications and emotions. Still others are caused by vascular disease, brain trauma, or chronic alcohol abuse (Korsakoff’s syndrome) By 2030, 20% of U.S. population will be older than 65 years of age – about 50 million people. Dementia affects 1% to 6% of those older than 65, and between 10% and 20% of those older than 80 years of age. In the next 30 years, estimated 10-20 million seniors in U.S. will have mild to severe forms of dementia. Seniors with history of moderate traumatic brain injury (TBI) have a 2-3 times greater risk of developing Alzheimer’s disease – those with a severe TBI have a 4-5 times greater risk. Even healthy seniors are at risk for falls and head trauma, so any fall to the head, however minor, should be seen by a medical professional and documented. Alzheimer’s disease accounts for 65% of all dementias. There is no direct diagnosis of Alzheimer’s – and while PET scans and other imaging techniques are being studied, none have yet been able to show the presence of Alzheimer’s disease. Alzheimer’s onset often surprises families because vision, movement, and sensation remain untouched while a senior’s memories begin to slowly decrease. Recent memories are affected first, leading to “senior moments” that appear innocent because all other memories, including those from decades ago, remain intact. Eventually those remote memories begin to fade, and lastly the senior’s “crystallized” memories, such as family member’s names and faces, are compromised.   By David L. Raffle, PhD Clinical and Forensic Neuropsychologist www.RaffleBrainInstitute.com
There are creative and effective ways to help an aging parent, family member or loved one who suffers from Alzheimer’s disease or dementia cope with the loss of their spouse, according to a new survey of aging experts released this week by the National Association of Professional Geriatric Care Managers (NAPGCM). Remembering that there are different stages and types of dementia, making sure the surviving spouse does not become socially isolated and not rushing other major changes in their lives are among the top expert recommendations. Americans are increasingly challenged by the need to communicate difficult information to aging family members with dementia. According to the National Institutes of Health as many as 5 million of the 43 million Americans age 65 and older may have Alzheimer’s disease and another 1.8 million people have some other form of dementia. And, according to the the number of Americans with Alzheimer’s disease and other dementias will escalate rapidly in coming years as baby boomers age. By 2050, the number of people age 65 and older with Alzheimer’s disease may nearly triple, from 5 million to as many as 16 million, barring the development of medical breakthroughs to prevent, slow or stop the disease. June is Alzheimer’s and Brain Awareness Month. NAPGCM is releasing the results of its latest survey to help American families facing one of the most difficult of these challenges. NAPGCM polled 288 professional geriatric care managers in Los Angeles, CA and across the country asking them to identify the most effective strategies for helping a loved one with dementia cope with the loss of their spouse. The top six strategies identified by the aging experts are: 1. Remember there are many different stages of dementia. Your loved one’s capacity for understanding, coping and grieving can be very different depending on their stage of dementia. (Identified by 96% of survey respondents) 2. If your loved one’s response to reminiscing about their spouse is positive, share old photos and memories. (88 %) 3. Make sure the surviving spouse is not socially isolated. Schedule visitors on a regular basis and help them keep up with any normal social routines they have. (85%) 4. Reassure them there are people who care about them and will care for them. (84%) 5. Don’t rush big changes. It may make sense for them at some point to move to a facility, or closer to family. But, if possible, give them time to adapt so there aren’t too many major life changes at once. (81%) 6. If they choose to be included in mourning rituals for their spouse, make sure there is someone overseeing this so if the situation becomes too stressful they can leave. (78%) “With the rising rates of Alzheimer’s disease and dementia in our community, we often see families who face such challenging situations,” said Trina Duke, Gerontologist and Care Manager, Los Angeles, CA. “Our survey findings offer some sound expert advice for families.” The Alzheimer’s Association is a leading resource for families seeking information on the diagnosis, treatment, and stages of the disease. Their website provides information on living with Alzheimer’s and other dementias, tips for caregivers, and financial and legal planning. Go to www.alz.org. Help is only a phone call away on their 24/7 Helpline at 1-800-272-3900. Local chapters provide educational programs, community support groups, and creative workshops for persons with dementia and their caregivers. The Alzheimer’s Association California Southland Chapter assists people with Alzheimer’s and their families and educates the public about Alzheimer’s disease. The chapter offers a variety of diverse programs and services. It serves the diverse counties of Los Angeles, Riverside, San Bernardino, Inyo, Kings, Mono and Tulare.
“We’re so lucky.” I kept saying that to my sisters following my 90-year-old father’s passing in early 2013. I’m not sure they appreciated why I kept saying that. I said it because we were lucky he’d lived a great life. We were lucky to have had him so long, especially given my mother had died in 1988. We were lucky Dad had all his faculties to the end, even as his body disintegrated. Most of all, though, we were lucky he’d generated and executed a complete estate plan. Thanks to John Heebner’s sense of responsibility, the logistics, legalities and, above all, the grief of his daughters weren’t multiplied needlessly by a lack of foresight on the part of our parent. I knew where he kept the documents. He’d made sure to show me which file drawer they were in a few years prior to his death. He’d put together a trust to avoid probate. He’d also made it clear, as my mother had many years before, that he did not want extensive measures used to prolong his life. He had his Power of Attorney ready to go. He’d made his attorney the executor of his will so we girls wouldn’t argue over it. (Yes, we would have.) A friend of mine who’s an excellent Geriatric Care Manager knew a successful doctor who, in his mid-80s, had all his estate planning and paperwork done. It was found in his desk drawer following his death – all unsigned. His estate wound up in probate, of course, and the difficulty and pain were compounded because there had been two marriages, two sets of offspring – but nothing had been updated since the first marriage. My own estate planning attorney now has to struggle with the fact that there are now only two – count ‘em, two! – probate courts for the whole of Los Angeles County. When he needs to go to trial on behalf of a client, it’s now often an eight to ten month wait for a court date. Talk about prolonging the agony. My Dad had even cleared much of the superfluous stuff out of the house, something I often do on behalf of other families as a Senior Move Manager. But Dad had taken the time to do a lot of the decluttering so his daughters wouldn’t have to, although there was one thing John Heebner did hoard. Given that my father had been a very successful businessman in Buffalo and that he had an MBA from Harvard, I don’t suppose it’s really so great a surprise that he’d kept all his tax returns back to 1957. Given all he’d done for us, I couldn’t really begrudge him his collection of 1040s, even as I was lugging 256 pounds worth of them out of the house for shredding. After all, he’d made sure all the vital paper, all the documents we’d really need, were there waiting for us. If you don’t plan for a grand finale, you – and your family – can easily wind up with a tragic ending.   Marty Stevens-Heebner
Happy Earth Day!!! This afternoon the residents and staff of Raya’s Paradise Board & Care facility at 849 Gardner in West Hollywood will be celebrating Earth Day with the Hollywood Boys and Girls Club. The kids will be sharing fun stories and treats with the residents. Each of the kids will be taking home a plant from our herb garden to take to their own home to start their own sustainable herb garden.   Be sure to check out all of the fun photo’s on our Facebook page at www.facebook.com/rayasparadise!!!
www.carehomecarela.com

www.carehomecarela.com

Knowing when to hire a Caregiver and even more importantly choosing the right way to go about it can be a very challenging time. Perhaps you or a loved one simply need a ride to a doctor’s appointment or to a family function. Perhaps it has become time to consider full time help. Maybe you just need someone to come in one day a week to give you, the family Caregiver, a break. The first thing you want to consider is safety and security. You want a reputable in-home caregiving company like CARE Homecare who is licensed, bonded and insured who actually employs their Caregivers, screens them thoroughly and does full background checks on them. The right company will provide you with ongoing care management from an experienced management team who will come and provide you with a comprehensive assessment of your care needs and then based upon the findings find you the best possible team of Caregivers. This will ensure the best outcome for you or your loved one and will reduce the risk of having to “try” several different Caregivers before finding the right fit. Below is a brief description of some of the services you can expect to receive from a company like CARE Homecare. Medication Assistance Our caregivers can assist your loved one with making sure that they are taking their medicine correctly. They can also remind your loved one when it is time to take their medicine. So many medications have restrictions on when you can take them and remembering all of that information can be daunting. We are here to help. Meal Planning and Preparation Making sure that your loved one consumes nutritious meals that are prepared with an awareness of their dietary restrictions as well as their personal preferences is a priority for us. If your loved one is diabetic, has certain allergies or any other health restrictions, our caregivers can prepare meals designed with their specific dietary needs in mind. Alzheimer & Dementia Care professionals As experts in Alzheimer’s and dementia care, you can trust us to make your loved one’s life, and yours, much easier and more enjoyable. If your loved one is suffering from Alzheimer’s or other forms of dementia, it can also take a tremendous toll on your own physical and emotional well-being. With assistance from a supportive team, you don’t have to go it alone. Social Engagement We believe that social interaction and stimulation keep the mind and heart happy. Active mental and social engagement is so important in keeping loneliness and depression at bay and making life more meaningful. That’s why our Caregivers are so attentive to the activities your loved one need to keep their minds sharp, have fun, and stay connected with friends, family, and community. Companionship Companionship provides a valuable social benefit by decreasing isolation and helping to reduce depression from being alone. A companion provides invaluable peace of mind to you and your loved one by offering a companion to accompany them along to many of the things in life they once were able to do independently. Activities at Home Our Caregivers will engage your loved one in daily conversation, art, music, reading, gardening, cooking, brain-stimulating activities and regular physical activity to help diminish the debilitating effects of dementia and depression. Games involving concentration and focus stimulate the brain cells to increase neural connections. Our Caregivers can build a stronger relationship while working on these meaningful projects together, which will in turn improve their quality of life. Exercise & Strengthening We want to help your loved one maintain their strength, endurance and balance so that they can stay in the comfort of their own home for as long as possible. Our Caregivers can help your loved one enjoy the benefits of increased balance, good circulation, walking ability, general mobility, strength and stamina through regular range of motion, stretching and balance exercises. By simply encouraging regular physical activity, our Caregivers can improve your loved one’s confidence, mood, sleep habits and independence. Transportation Assistance Our Caregivers are available to help your loved one take back some of their independence by providing safe and reliable transportation to wherever they wish to go. They can once again go shopping, to the salon, to a park, to visit friends to church or even community centers to participate in group activities. Often times, our Caregivers are able to connect seniors with others within the community and help them participate in community programs, classes, workshops and events where they can interact with others with whom they can relate. Light Housekeeping When your aging or disabled loved one lives in a clean and organized home, they enjoy greater feelings of wellbeing—and even good health. Keeping refrigerators and cupboards free of expired or spoiled foods can avert food-borne illnesses. To avoid fire hazards, stoves, toasters, ovens and other appliances must be regularly cleaned to avoid a build-up of grease, oils or crumbs. We make it possible for your aging parent or disabled family member to enjoy the peace of mind that comes with a clean and uncluttered home. For any additional questions you may have about hiring Caregivers or any other senior care provider options you want to learn about, please reach out to CARE Homecare’s Community Liaison, Jeromy Meyer, 24/7 at (323) 599-6056 or visit us online at carehomecare.net [contact-form to=’jeromy@rayasparadise.com’ subject=’Response to 4/16 blog post on RP web site’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Website’ type=’url’/][contact-field label=’Comment’ type=’textarea’ required=’1’/][/contact-form]
elderly parent debtLet’s say that your mother has granted you power of attorney over her finances, and she has recently become unable to manage her own affairs due to dementia. Upon looking into her accounts, you discover that she has several thousand dollars worth of debt. Can the creditors come after you personally for this money? No, they cannot. This holds true even if you have power of attorney. The only way you can be responsible for your parent’s debt is if you were also a co-signer on the loan. But, those of us who feel duty-bound to do the right thing  may want to make sure that the bill gets paid anyway. Here are some things to consider before you proceed. What type of debt does your loved one have? Depending on who the creditor is and the conditions of the loan, the rules for paying back the debt or your sense of obligation might be different. A bank loan is going to be relatively impersonal. The bank will be business-like if there’s a problem with the account, and if everything’s in order will probably not hassle you to repay the whole loan quickly. However, if your mother owes money to a contractor who also happens to be a family friend, and he needs the money, the debt will be much harder to ignore. Is there a way to contest or renegotiate the debt? For example, was your mother taken advantage of by an unethical salesperson? Did she put a doctor’s bill on a credit card rather than working out a payment plan directly with the office? Can items be returned or recurring services canceled? Explore different ways of addressing the problem. It’s always worth calling the creditors to see if more favorable arrangements can be negotiated, and the Consumer Credit Counseling Service can help you with working things out fairly. Also, examine your parent’s finances carefully to determine if a source of funding is available. For example, they may qualify for a reverse mortgage that can help you get the debt taken care of quickly. And if your parent has passed away, the matter is as simple as using whatever funds remain in the estate to pay what you can, and then notifiying whoever has not been paid that there are no more assets. If there’s no money available to pay the creditor and your parent is still alive, you can simply try asking them to forgive the debt (though they may not buy that there are no assets unless your parent is on Medicaid). Your parent can also declare bankruptcy. You’ll of course want to speak with a lawyer before considering this step. Few of us are comfortable leaving debts unpaid, but if you follow the steps above you will have done your due diligence to get creditors what they are owed.
children help with caring for seniorsMost people have fond memories of at least one of their grandparents. These are some of our most cherished relationships. It’s important to both your children and your parents that they make the most of this relationship while they still can. During this difficult time when the family struggles with dementia or the poor health of your parent, strong grandparent-grandchild relationships are vital and can be very nurturing to them both. Often people leave children out during times of illness, but if this happens they can miss out on the chance to help a relative who needs them. As adults, we want to feel that we are valuable and that we’re making a contribution to our world. That’s what makes old age so tough – we can begin to feel that we’re no longer relevant and that we no longer matter. Kids, on the other hand, want to be recognized for what they do well, especially when they’re teenagers. Kids today often don’t know much about history, and this is where a good relationship with their grandparents can really benefit them. They have much to learn about where they come from, and about things that happened before they were born. Even if your parent thinks your family history is unremarkable, your kids are likely to be curious and glad to know where they came from. And kids, in turn, know quite a few things that grandparents don’t. They may be able to set up your mom’s new DVD player faster than you can say “Gone with the Wind” or they are pros at doing that cool new dance everyone’s talking about. Even a sullen teenager may be more receptive to assisted living visits if you find some way to incorporate their talents. Maybe they can build an online photo album with treasured images to share with their grandparent. Or, if they were just in a school play, maybe your child and their classmates will agree to volunteer to perform a few scenes to entertain the assisted living residents. (Won’t mom be proud!) Make sure that both grandchild and grandparent know what they can contribute to the other, and ask each of them privately to help you by contributing their knowledge and spending time together. By each of them sharing what they know and what they’re good at, grandparents and grandchildren can meet each other’s emotional needs. So getting them to spend time together can be good for your parent, good for your kids, and ultimately, good for you because everyone’s happier and a little less stressed.
using life insurance to pay for assisted livingWhen thinking about how to pay for assisted living, one option that seniors and their caregivers forget about is the ability to turn any active life insurance policy into a long-term care benefit plan. This little-known option has actually been in existence for decades, but few people take advantage of it. Once a person reaches old age, life insurance is nice to have but not crucial, as more often than not they don’t have any dependents. However, long-term care is a major expense at this point in time. This option gives seniors the flexibility to use this investment for needs that are more pressing. The benefit can be used with any type of life insurance policy: term, whole, or universal. In some ways, this benefit is similar to regular long-term care insurance (though the two are not exactly the same).  Once the life insurance policy is converted, ownership of the policy shifts from the policyholder to a benefits administrator entity. The benefits administrator takes over responsibility for paying the monthly premiums on the policy. An account is set up from which the benefits administrator pays a specific amount, based on the value of the policy, towards the original policyholder’s long-term care needs. Often the monthly payment is flexible – for example, if the value of your policy is $24,000, you might be able to choose to receive $2,000 per month for 12 months, or $1,000 per month for 24 months. It may not be a large enough amount to pay the full assisted living bill, but it can yield a significant monthly sum that will go a long way towards defraying costs. In many cases, the long-term care benefit is worth much more than the cash the policyholder would get by simply surrendering the policy. Taking this option doesn’t mean completely forgoing the benefits of life insurance. You are often able to keep a small funeral benefit worth around one or two thousand dollars. There are several reasons why this route may NOT work for you. For example, if you have a small policy of $10,000 or less, you’ll likely find that it’s better to choose the cash surrender value or simply keep the life insurance. Also, in some cases the cash surrender value may be larger than the long-term care benefit. Finally, in order to use this option you must have an immediate need for some form of approved long-term care. Payments are made directly to the long-term care provider, not to you. If this seems like a possible option for you or your loved one, speak with a financial advisor who specializes in helping seniors.